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Wisconsin rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.19 / $563.28 / $1,289.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.91 / $647.73 / $1,905.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.24 / $700.21 / $1,521.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.29 / $1,051.66 / $4,446.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.95 / $244.53 / $643.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.90 / $784.07 / $1,128.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.58 / $1,430.73 / $4,446.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.46 / $2,767.79 / $3,355.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.77 / $761.79 / $1,741.90