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Wisconsin rates for HCPCS 67036

Vitrectomy Mechanical Pars Plana

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.23 / $8,243.00 / $18,649.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.87 / $949.31 / $2,074.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.40 / $1,729.12 / $4,563.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,366.34 / $2,765.26 / $4,460.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.32 / $2,162.33 / $4,349.55
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.39 / $1,235.82 / $1,822.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.91 / $7,217.00 / $15,426.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.12 / $1,781.45 / $7,588.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $483.60 / $1,448.82
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.39 / $1,235.82 / $2,404.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.80 / $2,101.17 / $3,136.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,879.05 / $11,879.05 / $11,879.05
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,125.97 / $1,125.97 / $1,125.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.72 / $5,226.38 / $7,588.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,066.60 / $5,471.24 / $8,681.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.12 / $1,759.68 / $3,827.06