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Wisconsin rates for HCPCS 67560

Orbital Implant Removal/Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.75 / $3,119.00 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.08 / $3,460.26 / $5,581.27
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.92 / $1,365.00 / $2,012.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.85 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.92 / $1,365.00 / $2,256.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.80 / $2,588.26 / $3,863.76
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