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Wisconsin rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.99 / $2,328.96 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.90 / $1,971.27 / $3,179.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.79 / $864.98 / $1,296.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.51 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.79 / $864.98 / $1,365.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.59 / $1,489.75 / $2,114.62
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