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Wisconsin rates for HCPCS 67400

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

Facilitymedian $7,586 · 10th–90th $3,981–$12,0230%10%10th90th$7,586Professionalmedian $1,585 · 10th–90th $933–$5,8880%5%10%10th90th$1,585$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $5,248.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,148.15 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $4,570.88 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $2,041.74 / $5,128.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,412.54 / $3,019.95 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,235.94 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,715.35 / $5,128.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $3,311.31 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,570.40 / $3,019.95
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$2,818.38 / $3,801.89 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $4,265.80 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,905.46 / $7,762.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $8,511.38 / $9,120.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,630.27 / $4,365.16
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,137.96 / $3,162.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,786.30 / $7,413.10
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $2,951.21 / $7,943.28