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Wisconsin rates for HCPCS V2020

Frames, purchases

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.63 / $75.63 / $75.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.07 / $74.95 / $79.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.97 / $83.97 / $102.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.22 / $193.22 / $193.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.40 / $283.27 / $321.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $130.78 / $170.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.40 / $75.63 / $90.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.94 / $79.41 / $139.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $45.04 / $84.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.94 / $75.63 / $90.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.88 / $135.44 / $218.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.29 / $183.29 / $405.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $396.77 / $487.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $90.29 / $90.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $90.29 / $1,000,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $43.16 / $74.40