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Wisconsin rates for HCPCS 65880

Severing Ads Ant Seg Incal Spx Corneovitreal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.74 / $2,446.26 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.70 / $2,069.19 / $3,337.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.04 / $910.34 / $1,361.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.77 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.04 / $910.34 / $1,438.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.00 / $1,564.20 / $2,220.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,879.05 / $11,879.05 / $11,879.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00