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Wisconsin rates for HCPCS 66635

Irdec Crnlsclrl/Crnl Sctj Optical Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.20 / $2,104.25 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.39 / $1,774.36 / $2,861.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.75 / $788.17 / $1,169.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.58 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.75 / $788.17 / $1,363.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,346.40 / $1,911.14
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
$4,614.00 / $6,477.00 / $8,384.00