go back

Wisconsin rates for HCPCS 65865

Severing Ads Ant Seg Incal Tq Spx Goniosynechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.16 / $1,754.21 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.18 / $1,488.98 / $2,401.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.79 / $678.06 / $977.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.42 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.79 / $678.06 / $1,120.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.80 / $1,123.06 / $1,594.12
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,887.55 / $6,887.55 / $6,887.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00