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Wisconsin rates for HCPCS 66930

Removal Lens Matrl Intracapsular Dislocated Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.06 / $3,141.71 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.28 / $1,282.06 / $4,162.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,720.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.48 / $1,655.31 / $3,998.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.61 / $2,645.21 / $4,266.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.97 / $2,068.28 / $3,090.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.47 / $1,174.42 / $1,743.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.22 / $4,103.00 / $8,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.74 / $1,732.16 / $6,380.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $481.84 / $1,433.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.47 / $1,174.42 / $2,028.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.20 / $2,009.30 / $2,852.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,879.05 / $11,879.05 / $11,879.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.77 / $4,162.25 / $6,380.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,004.35 / $4,004.35 / $4,004.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,280.97 / $5,170.55 / $8,306.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.71 / $1,573.33 / $3,648.21