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Wisconsin rates for HCPCS 92355

Fitting of spectacle mounted low vision aid; telescopic or other compound lens system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $37.15 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $42.66 / $69.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $23.99 / $51.29
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $47.86 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $22.91 / $60.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $30.90 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $50.12 / $77.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $512.86 / $933.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.84 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $67.61