go back

Wisconsin rates for HCPCS 67413

Orbitotomy W/O Bone Flap W/Rmvl Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.50 / $3,512.52 / $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
$2,579.01 / $3,013.77 / $4,861.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.98 / $1,268.48 / $1,963.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.45 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.81 / $1,268.48 / $2,223.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.60 / $2,246.11 / $3,353.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,781.26 / $6,781.26 / $6,781.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00