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Wisconsin rates for HCPCS 67908

Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$77.62 / $1,584.89 / $6,309.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$724.44 / $1,258.93 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,174.90 / $2,454.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $812.83 / $6,456.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,479.11
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,412.54 / $1,737.80 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $891.25 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,023.29 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,202.26 / $1,905.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,754.40 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,949.84 / $5,623.41
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $4,168.69 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $776.25 / $2,089.30