go back

Wisconsin rates for HCPCS 66762

Iridoplasty Photocoagulation 1/> Sessions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.74 / $878.31 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.10 / $565.74 / $1,659.03
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
$421.00 / $820.82 / $1,978.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.89 / $1,492.14 / $2,406.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.00 / $1,014.29 / $1,733.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.73 / $605.05 / $922.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.73 / $819.00 / $4,130.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.29 / $1,017.79 / $3,562.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $258.77 / $760.04
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.83 / $624.58 / $979.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.25 / $1,118.52 / $1,533.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,475.85 / $3,475.85 / $3,475.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.51 / $2,060.90 / $3,562.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.99 / $4,128.02 / $4,658.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.35 / $925.26 / $2,031.55