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Wisconsin rates for HCPCS 92019

Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $380.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $77.62 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $77.62 / $109.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $125.89 / $190.55