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Wisconsin rates for HCPCS 66180

Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.79 / $3,185.65 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.25 / $3,522.39 / $5,681.48
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.34 / $1,561.03 / $2,214.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.56 / $5,266.00 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.34 / $1,561.03 / $2,321.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.00 / $2,673.00 / $3,794.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,420.15 / $19,420.15 / $19,420.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.00 / $11,608.00 / $13,980.00