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Wisconsin rates for HCPCS 67971

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,187.76 / $3,548.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,691.53 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $4,073.80 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,445.44 / $2,187.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $5,754.40 / $5,754.40
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11