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Wisconsin rates for HCPCS 67405

Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,818.38 / $4,570.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,388.44 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,073.80 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $2,951.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $6,165.95 / $6,165.95
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11