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Wisconsin rates for HCPCS V2106

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Facilitymedian $63 · 10th–90th $47$2290%10%20%10th90th$63Professionalmedian $51 · 10th–90th $27$950%10%10th90th$51$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
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $93.33 / $123.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $53.70 / $63.10
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $56.23 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.20 / $58.88
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
$47.86 / $63.10 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $97.72 / $162.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $288.40 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $69.18 / $100.00