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Wisconsin rates for HCPCS 65930

Removal of blood clot, anterior segment of eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $3,162.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,398.83 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $4,073.80 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,288.25 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11