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Wisconsin rates for HCPCS 67550

Orbital implant (implant outside muscle cone); insertion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.44 / $3,957.91 / $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
$2,898.90 / $3,387.60 / $5,464.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.01 / $1,339.59 / $1,972.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.73 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.01 / $1,339.59 / $2,210.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.60 / $2,535.19 / $3,784.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $9,001.70 / $9,001.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00