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Wisconsin rates for HCPCS 68500

Excision of lacrimal gland (dacryoadenectomy), except for tumor; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,187.76 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $2,041.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,089.30 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,818.38 / $3,890.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,162.28 / $5,754.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,630.27 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,265.80 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,995.26 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,187.76 / $3,162.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $4,897.79 / $7,585.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $10,232.93 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,698.24 / $4,265.80