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Wisconsin rates for HCPCS 67906

Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $977.24 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,348.96 / $2,511.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,905.46 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $2,187.76 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $6,918.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,000.00 / $1,548.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $2,454.71 / $6,918.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $870.96 / $2,137.96