go back

Wisconsin rates for HCPCS 67414

Orbitotomy W/O Bone Flap W/Rmvl Bone Dcmprn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,191.23 / $5,273.95 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $12,444.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,845.98 / $4,494.33 / $7,249.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.46 / $1,836.46 / $2,866.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.51 / $5,478.08 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.46 / $1,836.46 / $2,933.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.60 / $3,386.59 / $5,055.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,192.32 / $10,192.32 / $10,192.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00