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Wisconsin rates for HCPCS 67115

Release of encircling material (posterior segment)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $10,232.93 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $954.99 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,348.96 / $2,454.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,862.09 / $4,265.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $4,073.80 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $977.24 / $3,715.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,023.29 / $1,584.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $11,748.98 / $11,748.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $2,398.83 / $3,630.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $2,089.30