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Lenticular (Myodisc), Single Vision

Wisconsin rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Rates data updated July 2026.

Facilitymedian $107 · 10th–90th $78$3470%20%10th90th$107Professionalmedian $85 · 10th–90th $36$1350%10%10th90th$85$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
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$74.13
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$154.88
Typical High
$204.17
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$107.15
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$165.96
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$107.15
Quartz
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$263.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$478.63
Quartz
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$162.18
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$47.86
Typical High
$79.43