go back

Wisconsin rates for HCPCS 92136

Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $229.09 / $257.04
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.18 / $28.18 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $83.18 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $39.81 / $125.89
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$50.12 / $120.23 / $281.84
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$109.65 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $33.88 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $77.62 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $43.65 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$77.62 / $117.49 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $34.67 / $100.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $42.66 / $75.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $35.48 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $147.91 / $234.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.43 / $93.33 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $97.72 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $61.66 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $39.81 / $74.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $72.44 / $134.90
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $97.72 / $141.25
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $63.10 / $85.11
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$128.82 / $147.91 / $213.80
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $35.48 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $85.11 / $269.15
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.90 / $134.90 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $123.03 / $457.09
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $47.86 / $190.55
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $74.13 / $316.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $114.82 / $190.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $316.23 / $316.23
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $190.55 / $190.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $302.00 / $467.74
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $154.88 / $190.55
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $181.97 / $323.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $173.78
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $53.70 / $89.13
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $87.10 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $95.50 / $181.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $40.74 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $53.70 / $104.71