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Wisconsin rates for HCPCS 67208

Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,122.02 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,412.54 / $2,884.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,023.29 / $6,918.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,288.25 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $758.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $2,089.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,570.88 / $4,570.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $2,137.96 / $4,365.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,818.38
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $5,623.41 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $2,454.71