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Wisconsin rates for HCPCS G0186

Destruction Of Localized Lesion Of Choroid (For Example Choroidal Neovascularization); Photocoagulation Feeder Vessel Technique (One Or More Sessions)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.57 / $601.57 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.51 / $601.57 / $752.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,183.00 / $1,530.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.16 / $1,375.24 / $3,365.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.22 / $1,808.05 / $2,916.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $814.69 / $1,548.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.79 / $655.49 / $873.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.66 / $1,402.76 / $4,514.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.12 / $1,122.57 / $2,677.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $70.00 / $1,164.29
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.79 / $655.49 / $873.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.79 / $1,551.57 / $2,163.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,481.61 / $3,481.61 / $3,481.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $3,036.20 / $4,046.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,526.53 / $2,526.53 / $2,692.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,980.01 / $5,356.75 / $5,709.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,367.00 / $3,088.30 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.79 / $1,209.43 / $1,976.36