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Wisconsin rates for HCPCS V2629

Prosthetic eye, other type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $870.96
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,737.80 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $891.25