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Wisconsin rates for HCPCS V2113

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Facilitymedian $89 · 10th–90th $65–$3160%20%10th90th$89Professionalmedian $72 · 10th–90th $32–$1170%20%10th90th$72$10.0$20.0$50.0$100.0$200.0$500.0

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
$74.13 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $70.79 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $281.84 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $128.82 / $169.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $74.13 / $89.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $190.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $85.11 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $42.66 / $83.18
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
$66.07 / $89.13 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $134.90 / $223.87
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $398.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $398.11 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $39.81 / $66.07