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Wisconsin rates for HCPCS 68801

Dilation Lacrimal Punctum W/Wo Irrgation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.35 / $165.83 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$643.50 / $643.50 / $643.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.26 / $119.35 / $298.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$103.32 / $168.47 / $862.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.81 / $154.09 / $398.39
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$133.21 / $235.66 / $619.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.23 / $306.43 / $494.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.90 / $201.84 / $352.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.70 / $114.24 / $173.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.95 / $146.31 / $1,789.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.21 / $204.83 / $1,055.57
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$366.57 / $366.57 / $366.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $93.15 / $219.68
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.70 / $116.38 / $199.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.05 / $224.02 / $307.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.08 / $562.08 / $562.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.24 / $414.90 / $1,055.57
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $780.87 / $947.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.00 / $1,423.00 / $2,202.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.01 / $182.44 / $405.38