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Wisconsin rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Facilitymedian $47 · 10th–90th $35$1660%20%10th90th$47Professionalmedian $38 · 10th–90th $18$850%10%10th90th$38$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
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $33.88 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $67.61 / $91.20
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $46.77
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $79.43 / $107.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $42.66 / $72.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $22.39 / $43.65
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
$35.48 / $46.77 / $72.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $123.03
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $218.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $213.80 / $263.03
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
$15.85 / $57.54 / $100.00