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Wisconsin rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Facilitymedian $4,677 · 10th–90th $1,148–$7,7620%10%10th90th$4,677Professionalmedian $1,445 · 10th–90th $759–$2,3440%10%10th90th$1,445$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,148.15 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,089.30 / $3,311.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,023.29 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,122.02 / $8,128.31
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,445.44 / $2,344.23
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $3,162.28
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,413.10 / $9,120.11