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Wisconsin rates for HCPCS 67903

Rpr Blepharoptosis Levator Rescj/Advmnt Internal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.76 / $991.98 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.69 / $692.76 / $1,630.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,141.71 / $1,181.43 / $1,492.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.25 / $926.72 / $2,445.23
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$877.09 / $1,417.35 / $3,667.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.51 / $1,890.19 / $3,048.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.25 / $1,232.68 / $2,780.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.05 / $739.76 / $1,237.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.05 / $981.11 / $8,384.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,771.00 / $3,771.00 / $3,771.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.52 / $1,191.23 / $7,569.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $347.97 / $1,020.03
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.05 / $740.39 / $1,533.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.85 / $1,411.16 / $2,031.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,362.52 / $3,362.52 / $3,362.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.10 / $2,340.30 / $7,569.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,266.30 / $4,654.89 / $5,889.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.52 / $1,200.33 / $2,552.59