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Wisconsin rates for HCPCS 67015

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,174.90 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,862.09 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,621.81 / $3,019.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,698.24 / $3,801.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,479.11 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $4,073.80 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,174.90 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,230.27 / $1,905.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,918.31 / $6,918.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $2,884.03 / $4,365.16
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $5,888.44 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,000.00 / $2,511.89