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Wisconsin rates for HCPCS 67039

Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $9,772.37 / $13,489.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $4,677.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,365.16 / $10,232.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,248.07 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $2,951.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $11,748.98 / $11,748.98
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,022.64 / $16,218.10