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Wisconsin rates for HCPCS 65785

Implantation of intrastromal corneal ring segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $3,311.31 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,995.26 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,230.27 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,819.70 / $7,943.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,454.71 / $4,570.88
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $3,715.35 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,786.30 / $15,488.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,344.23 / $6,918.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $16,982.44 / $16,982.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $3,981.07 / $14,454.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $10,471.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $8,128.31 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,022.64 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $2,041.74 / $8,511.38