go back

Wisconsin rates for HCPCS V2114

Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens

Facilitymedian $105 · 10th–90th $78$3720%20%10th90th$105Professionalmedian $79 · 10th–90th $38$1320%10%20%10th90th$79$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
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $70.79 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $331.13 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $151.36 / $204.17
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $87.10 / $104.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $141.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $50.12 / $97.72
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
$79.43 / $104.71 / $162.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $151.36 / $245.47
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $436.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $467.74 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $70.79 / $107.15