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Wisconsin rates for HCPCS 67414

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression

Facilitymedian $8,128 · 10th–90th $4,677–$13,1830%10%10th90th$8,128Professionalmedian $2,951 · 10th–90th $1,380–$4,5710%10%10th90th$2,951$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
$2,187.76 / $2,951.21 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,466.84 / $7,244.36
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $4,365.16 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $5,495.41 / $11,481.54
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,951.21 / $4,365.16
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $9,772.37 / $9,772.37
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $12,022.64