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Wisconsin rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $371.54 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $158.49 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $213.80 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $380.19 / $794.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $263.03 / $3,981.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $275.42 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $467.74 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $223.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $288.40 / $602.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,818.38 / $2,818.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $446.68 / $2,884.03
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $933.25 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $234.42 / $707.95