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Wisconsin rates for HCPCS V2627

Scleral cover shell

Facilitymedian $1,698 · 10th–90th $1,288$6,1660%20%10th90th$1,698Professionalmedian $1,445 · 10th–90th $646$2,4550%10%10th90th$1,445$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,380.38
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,737.80
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$5,370.32
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$2,511.89
Typical High
$3,311.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,445.44
Typical High
$1,698.24
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,621.81
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,584.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$1,412.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,698.24
Typical High
$2,691.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$4,570.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$8,128.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$7,762.47
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,288.25