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Wisconsin rates for HCPCS 67027

Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous

Facilitymedian $15,849 · 10th–90th $3,467–$26,3030%10%10th90th$15,849Professionalmedian $1,698 · 10th–90th $794–$2,6300%10%10th90th$1,698$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,737.80 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $17,378.01 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,630.27 / $4,168.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,801.89 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $5,248.07 / $15,848.93
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,698.24 / $2,630.27
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $10,715.19 / $10,715.19
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $16,218.10