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Wisconsin rates for HCPCS 68720

Dacryocstorhinostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.17 / $1,858.13 / $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
$2,153.67 / $2,516.73 / $4,059.42
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.42 / $1,040.86 / $1,655.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.46 / $4,240.00 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.42 / $1,040.86 / $1,937.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.40 / $1,903.97 / $2,702.58
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