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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
$18.95 / $18.95 / $18.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $21.62 / $44.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.13 / $33.56 / $66.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.37 / $92.37 / $112.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $41.61 / $52.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.93 / $23.90 / $75.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.11 / $23.90 / $75.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $32.54 / $913.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.14 / $59.06 / $74.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.93 / $23.90 / $51.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $49.58 / $70.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $493.58 / $913.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $28.18 / $62.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.92 / $28.12 / $57.65