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Wisconsin rates for HCPCS 69990

Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $5,011.87 / $5,011.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $588.84 / $933.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $2,570.40 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,202.26 / $3,548.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $501.19 / $831.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,318.26 / $1,318.26
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$50.12 / $50.12 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $1,949.84