go back

Wisconsin rates for HCPCS 67005

Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $977.24 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,344.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,905.46 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $4,073.80 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $977.24 / $1,513.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11