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Wisconsin rates for HCPCS 66220

Repair Of Scleral Staphyloma; Without Graft

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.45 / $2,210.31 / $3,565.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.98 / $2,181.81 / $2,479.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,228.00 / $6,228.00 / $6,228.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,640.95 / $5,640.95 / $5,640.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.67 / $6,228.00 / $6,228.00