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Wisconsin rates for HCPCS 65772

Corneal relaxing incision for correction of surgically induced astigmatism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $831.76 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $776.25 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,412.54 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,023.29 / $1,698.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $724.44 / $9,772.37
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $794.33 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $977.24 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $588.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,047.13 / $1,513.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,818.38 / $2,818.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,659.59 / $3,311.31
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,981.07 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $741.31 / $1,819.70