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Wisconsin rates for HCPCS 67400

Orbitotomy W/O Bone Flap Expl W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.38 / $3,780.75 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.90 / $1,123.95 / $3,272.84
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,241.33 / $6,841.86 / $6,841.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.08 / $2,027.57 / $4,934.29
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,384.62 / $3,100.99 / $7,401.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,772.75 / $3,240.17 / $5,226.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.08 / $2,505.53 / $5,061.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.83 / $1,292.31 / $1,911.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.91 / $4,240.00 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.83 / $1,989.04 / $7,723.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.28 / $577.60 / $1,671.18
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.83 / $1,292.31 / $2,112.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.80 / $2,417.98 / $3,609.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $9,001.70 / $9,001.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.72 / $4,779.50 / $7,723.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.81 / $6,380.68 / $10,103.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.83 / $1,853.86 / $4,189.22