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Wisconsin rates for HCPCS 66225

Repair Scleral Staphyloma W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.41 / $3,431.00 / $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
$2,471.77 / $2,888.46 / $4,658.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.61 / $1,277.99 / $1,904.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.78 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.61 / $1,277.99 / $2,452.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.20 / $2,195.42 / $3,116.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,907.95 / $14,907.95 / $14,907.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00