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Wisconsin rates for HCPCS 66987

Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx W/Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.58 / $1,292.58 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.41 / $914.04 / $1,521.47
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
$793.22 / $1,668.91 / $3,863.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,356.42 / $2,753.67 / $4,441.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.08 / $2,183.78 / $3,186.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.14 / $1,131.47 / $1,956.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.77 / $8,225.90 / $15,702.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.46 / $1,672.61 / $6,060.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $675.74 / $938.54
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.14 / $1,131.47 / $1,956.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.72 / $2,110.04 / $3,007.24
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
$1,610.61 / $3,943.40 / $6,519.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,107.14 / $4,107.14 / $4,107.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,303.27 / $8,707.98 / $8,707.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.40 / $1,745.27 / $3,585.08