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Wisconsin rates for HCPCS 66625

Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.65 / $1,578.14 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.82 / $1,333.14 / $2,150.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.28 / $629.67 / $878.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.26 / $2,781.00 / $6,150.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.28 / $629.67 / $1,073.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.00 / $1,009.80 / $1,433.36
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
$2,976.00 / $4,155.00 / $5,865.00