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Wisconsin rates for HCPCS 67917

Repair Ectropion Extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.79 / $945.27 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.33 / $681.79 / $1,779.94
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$210.69 / $210.69 / $210.69
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
$526.45 / $884.75 / $2,317.92
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$892.06 / $1,346.32 / $3,476.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.98 / $1,959.69 / $3,160.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.91 / $1,248.79 / $2,996.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.57 / $701.08 / $1,173.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.57 / $945.27 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.89 / $1,312.71 / $4,642.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.42 / $320.47 / $1,036.91
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.57 / $701.08 / $1,262.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.35 / $1,420.73 / $2,091.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,196.56 / $3,196.56 / $3,196.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.75 / $2,664.36 / $4,642.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,046.38 / $4,423.50 / $6,087.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.33 / $1,676.84 / $3,292.44