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Wisconsin rates for HCPCS 67450

Orbitotomy Bone Flap/Window Lat Expl W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.90 / $5,079.59 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.34 / $2,108.90 / $6,436.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $8,408.00 / $12,444.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.05 / $2,722.89 / $6,628.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,722.53 / $4,350.07 / $7,016.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.93 / $3,364.35 / $6,799.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.73 / $1,744.47 / $2,730.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.46 / $5,272.25 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.73 / $2,676.72 / $10,377.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.62 / $768.97 / $2,229.51
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.73 / $1,744.47 / $2,836.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,461.19 / $3,248.78 / $4,849.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,796.08 / $9,796.08 / $9,796.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.89 / $6,436.80 / $10,377.36
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,638.60 / $6,638.60 / $6,638.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,779.97 / $8,571.96 / $13,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.38 / $2,574.71 / $5,641.86