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Wisconsin rates for HCPCS 68770

Closure Lacrimal Fistula Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.00 / $2,308.08 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.76 / $938.00 / $3,047.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.66 / $1,211.08 / $2,920.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.06 / $1,937.58 / $3,125.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.74 / $1,520.48 / $2,261.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.76 / $862.86 / $1,224.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.15 / $2,247.00 / $4,793.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.20 / $1,271.81 / $5,446.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $349.15 / $1,061.46
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.76 / $862.86 / $1,282.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.40 / $1,476.29 / $2,095.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,819.45 / $5,819.45 / $5,819.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.90 / $3,047.45 / $5,446.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,925.04 / $2,925.04 / $2,925.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.48 / $3,776.91 / $6,080.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.72 / $1,243.35 / $2,671.09