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Wisconsin rates for HCPCS 67413

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body

Facilitymedian $4,898 · 10th–90th $2,884–$7,9430%10%10th90th$4,898Professionalmedian $1,995 · 10th–90th $933–$3,0900%10%10th90th$1,995$1.0K$2.0K$5.0K$10.0K

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
$1,445.44 / $1,949.84 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,019.95 / $4,786.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,168.69 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,073.80 / $8,317.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,995.26 / $2,951.21
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $6,456.54 / $6,456.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $4,570.88
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,413.10 / $9,120.11