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Wisconsin rates for HCPCS 67228

Treatment Extensive Retinopathy Photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.04 / $624.65 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,716.70 / $4,477.00 / $4,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.04 / $986.81 / $1,809.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.35 / $688.16 / $2,234.84
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$503.02 / $894.61 / $3,363.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.63 / $370.63 / $370.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.45 / $321.77 / $424.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.12 / $1,053.03 / $1,698.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.27 / $731.78 / $1,653.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.14 / $497.18 / $1,132.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.14 / $843.37 / $4,130.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.83 / $1,222.64 / $5,265.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $215.22 / $592.66
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.14 / $509.50 / $1,186.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.00 / $794.32 / $1,143.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,470.44 / $2,470.44 / $2,470.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.12 / $1,483.75 / $5,265.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.83 / $2,930.85 / $3,300.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.89 / $928.85 / $1,830.43