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Wisconsin rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Facilitymedian $107 · 10th–90th $78$3800%10%20%10th90th$107Professionalmedian $85 · 10th–90th $37$1410%10%20%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
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
$36.31 / $77.62 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $120.23
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
$43.65 / $154.88 / $204.17
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $89.13 / $107.15
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $245.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $93.33 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $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 / $107.15 / $165.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $162.18 / $263.03
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $537.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $478.63 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $47.86 / $79.43