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Wisconsin rates for HCPCS 65930

Rmvl Blood Clot Anterior Segment Eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.20 / $2,354.59 / $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
$1,701.31 / $1,988.12 / $3,206.77
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.91 / $873.22 / $1,308.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.91 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.91 / $873.22 / $1,365.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.59 / $1,505.59 / $2,137.10
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
$4,614.00 / $6,477.00 / $8,384.00