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Wisconsin rates for HCPCS V2202

Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.91 / $69.91 / $69.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $67.52 / $75.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.63 / $77.63 / $95.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.63 / $178.63 / $178.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.38 / $262.20 / $297.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $120.94 / $157.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.11 / $69.91 / $83.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.95 / $73.41 / $129.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $41.63 / $77.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.95 / $69.91 / $83.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.47 / $125.73 / $228.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.44 / $169.44 / $407.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $366.80 / $509.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.47 / $83.47 / $83.47
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.47 / $83.47 / $1,000,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.83 / $39.89 / $66.30