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Wisconsin rates for HCPCS 66986

Exchange Intraocular Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.42 / $3,008.00 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,012.82 / $1,012.82 / $2,481.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.41 / $957.17 / $2,173.07
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$130.16 / $202.56 / $660.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $3,876.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.49 / $1,743.58 / $4,211.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,084.85 / $3,084.85 / $3,084.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,382.56 / $2,784.21 / $4,490.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.98 / $2,178.00 / $3,252.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.70 / $1,246.42 / $1,835.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.83 / $3,353.00 / $8,103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.95 / $1,927.97 / $6,715.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $506.97 / $1,510.67
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.70 / $1,246.42 / $2,260.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.20 / $2,116.21 / $3,003.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,887.55 / $6,887.55 / $6,887.55
Quartz
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$4,569.92 / $4,569.92 / $4,569.92
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.08 / $4,401.75 / $6,715.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,952.73 / $5,445.66 / $8,742.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,078.00 / $5,918.00 / $7,791.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.79 / $1,663.86 / $3,858.13