go back

Wisconsin rates for HCPCS 67343

Release of extensive scar tissue without detaching extraocular muscle (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.26 / $2,482.15 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.02 / $2,087.11 / $3,366.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.99 / $893.58 / $1,380.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.59 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.99 / $893.58 / $1,710.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.80 / $1,590.34 / $2,374.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,819.45 / $5,819.45 / $5,819.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00