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Wisconsin rates for HCPCS 65770

Keratoprosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,884.03 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $17,378.01 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,365.16 / $6,918.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $5,248.07 / $10,232.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $6,165.95 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,818.38 / $4,265.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $63,095.73 / $63,095.73
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $35,481.34 / $35,481.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79