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Wisconsin rates for HCPCS 66225

Repair of scleral staphyloma; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,884.03 / $4,570.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,073.80 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,862.09 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $14,791.08 / $14,791.08
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,413.10 / $9,120.11