go back

Wisconsin rates for HCPCS 67971

Rcnstj Eyelid Full Thickness <Two-Thirds 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.65 / $2,638.22 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.35 / $2,211.36 / $3,566.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.16 / $991.42 / $1,462.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.23 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.16 / $991.42 / $1,903.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.40 / $1,690.13 / $2,523.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,819.45 / $5,819.45 / $5,819.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,665.92 / $7,611.00 / $9,134.00