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Wisconsin rates for HCPCS 66185

Revj Aqueous Shunt Extraocular Reservoir W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.56 / $2,472.60 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $10,038.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.01 / $2,641.00 / $4,259.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.43 / $1,160.82 / $1,642.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.01 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.43 / $1,160.82 / $1,739.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.40 / $1,999.01 / $2,837.48
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
$4,918.00 / $7,611.00 / $9,134.00