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Wisconsin rates for HCPCS 67400

Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,248.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,230.27 / $4,570.88 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,041.74 / $5,128.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,380.38 / $3,019.95 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,235.94 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,754.23 / $5,128.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,162.28 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,570.40 / $3,019.95
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,818.38 / $3,801.89 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,265.80 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,949.84 / $7,762.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,137.96 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $4,786.30 / $7,413.10
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,659.59 / $4,168.69