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Wisconsin rates for HCPCS 67005

Rmvl Vitreous Ant Appr Partial Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.89 / $1,760.27 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.58 / $1,484.77 / $2,394.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.97 / $648.33 / $979.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.92 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.97 / $648.33 / $1,251.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.80 / $1,127.02 / $1,682.41
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,887.55 / $6,887.55 / $6,887.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00