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Bifocal Sphere, Plano to +/-4.00d

Wisconsin rates for HCPCS V2200

Sphere, bifocal, plano to plus or minus 4.00d, per lens

Rates data updated July 2026.

Facilitymedian $63 · 10th–90th $51$2040%20%10th90th$63Professionalmedian $52 · 10th–90th $26$950%10%20%10th90th$52$10.0$20.0$50.0$100.0$200.0

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$50.12
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$91.20
Typical High
$120.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$66.07
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$114.82
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$61.66
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$31.62
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$63.10
Typical High
$97.72
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$54.95
Typical High
$66.07
Quartz
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$95.50
Typical High
$186.21
Quartz
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$331.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$95.50
Typical High
$398.11
Security Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$70.79
Typical High
$100.00