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Wisconsin rates for HCPCS 67974

Rcnstj Eyelid Full Thickness Upper Eyelid 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.24 / $3,384.88 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.71 / $2,835.81 / $4,574.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.46 / $1,276.90 / $1,875.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.32 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.46 / $1,276.90 / $2,452.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.60 / $2,166.91 / $3,234.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $9,001.70 / $9,001.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00