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Wisconsin rates for HCPCS 67299

Unlisted Procedure Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,482.00 / $14,482.00 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.37 / $981.37 / $981.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $13,919.00 / $24,485.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.00 / $4,792.00 / $6,312.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,010.00 / $5,010.00 / $5,010.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,010.00 / $5,010.00 / $5,010.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00