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Wisconsin rates for HCPCS 67107

Repair Retinal Detachment Scleral Buckling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.11 / $4,111.85 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,952.97 / $3,450.78 / $5,565.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.90 / $1,589.37 / $2,277.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.48 / $5,266.00 / $14,978.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.90 / $1,589.37 / $2,940.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.80 / $2,631.82 / $3,928.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,879.05 / $11,879.05 / $11,879.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00