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Wisconsin rates for HCPCS 67974

Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage

Facilitymedian $7,586 · 10th–90th $3,890–$12,0230%10%10th90th$7,586Professionalmedian $1,820 · 10th–90th $851–$2,8180%10%20%10th90th$1,820$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,905.46 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,818.38 / $4,570.88
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,311.31 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $4,265.80 / $11,481.54
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $8,511.38 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,819.70 / $2,818.38
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $8,912.51 / $8,912.51
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,232.93 / $12,022.64