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Wisconsin rates for HCPCS 67715

Canthotomy Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.55 / $401.64 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.38 / $826.63 / $1,333.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.62 / $210.71 / $469.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.65 / $367.33 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.62 / $210.71 / $470.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.29 / $448.29 / $848.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.72 / $753.72 / $753.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00