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Wisconsin rates for HCPCS V2199

Not Otherwise Classified Single Vision Lens

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $999.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $87.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $90.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00