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Wisconsin rates for HCPCS V2207

Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $58.88 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $229.09 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $107.15 / $141.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $61.66 / $77.62
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $72.44 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $34.67 / $67.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $112.20 / $204.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $398.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $112.20 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.88 / $54.95