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Wisconsin rates for HCPCS 68520

Excision Lacrimal Sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.07 / $2,709.44 / $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
$1,966.24 / $2,297.71 / $3,706.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.67 / $943.89 / $1,509.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.85 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.67 / $943.89 / $1,709.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.60 / $1,735.27 / $2,463.12
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
$6,073.00 / $9,837.00 / $12,062.00