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Wisconsin rates for HCPCS 92354

Fitting of spectacle mounted low vision aid; single element system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.16 / $12.16 / $12.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $13.84 / $60.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $21.52 / $42.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.78 / $58.78 / $71.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $26.48 / $33.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $15.36 / $132.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $15.36 / $132.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $22.95 / $1,889.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $38.77 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $15.36 / $63.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $32.03 / $45.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $1,020.06 / $1,889.17
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $18.05 / $40.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $18.05 / $54.64