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Wisconsin rates for HCPCS 66761

Iridotomy/Irridectomy Laser Surg Per Session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.71 / $694.94 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$265.27 / $338.53 / $818.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.80 / $353.71 / $1,457.36
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$341.79 / $508.50 / $2,704.50
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$188.45 / $272.79 / $867.74
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$37.69 / $54.56 / $173.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.97 / $456.68 / $1,103.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$439.45 / $698.45 / $1,689.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.00 / $937.20 / $1,511.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.55 / $597.54 / $1,085.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.08 / $410.16 / $611.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.23 / $508.89 / $4,130.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.04 / $637.49 / $2,831.00
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,377.54 / $1,377.54 / $1,848.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $201.05 / $561.15
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.08 / $410.16 / $743.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.35 / $694.93 / $953.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.96 / $1,933.96 / $1,933.96
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$740.71 / $740.71 / $740.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.66 / $1,145.50 / $2,831.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.57 / $2,295.26 / $2,917.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.04 / $594.52 / $1,275.70