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Wisconsin rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $58.12 / $72.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $102.16 / $253.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $74.16 / $145.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.52 / $69.15 / $184.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $32.41 / $67.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.93 / $141.75 / $204.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $274.82 / $398.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.55 / $152.68 / $224.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.61 / $72.13 / $140.94