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Wisconsin rates for HCPCS V2100

Sphere, single vision, plano to plus or minus 4.00, per lens

Facilitymedian $56 · 10th–90th $41$2000%20%10th90th$56Professionalmedian $44 · 10th–90th $19$850%10%10th90th$44$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $38.90 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $81.28 / $107.15
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $47.86 / $56.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $97.72 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $52.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $87.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $85.11 / $141.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $251.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $251.19 / $309.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $63.10 / $100.00