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Wisconsin rates for HCPCS V2199

Not otherwise classified, single vision lens

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $87.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $100.00 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $33.11