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Wisconsin rates for HCPCS 67902

Rpr Blepharopt Frontalis Musc Autol Fascal Sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.20 / $2,666.05 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.20 / $1,086.20 / $3,511.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.47 / $1,402.44 / $3,659.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.68 / $2,239.79 / $3,612.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.82 / $1,754.78 / $3,524.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.85 / $989.07 / $1,479.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.28 / $4,240.00 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.11 / $1,461.35 / $5,403.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $421.79 / $1,231.50
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.85 / $989.07 / $1,897.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.40 / $1,705.97 / $2,546.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $9,001.70 / $9,001.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.33 / $3,511.50 / $5,403.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,393.51 / $3,393.51 / $3,393.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,768.50 / $4,381.81 / $7,034.41
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
$702.85 / $1,409.38 / $3,132.26