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Wisconsin rates for HCPCS 66184

Revj Shunt Extraocular Reservoir W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.95 / $2,911.70 / $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
$2,107.71 / $2,463.04 / $3,972.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.43 / $1,125.47 / $1,523.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.33 / $5,496.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.43 / $1,125.47 / $1,523.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.60 / $1,861.99 / $2,642.99
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 / $7,611.00 / $9,134.00