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Wisconsin rates for HCPCS V2211

Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.25 / $74.25 / $74.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.60 / $73.84 / $90.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.44 / $82.44 / $101.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.69 / $189.69 / $189.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.90 / $278.00 / $315.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $128.44 / $167.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $74.25 / $88.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.73 / $77.95 / $137.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $44.22 / $82.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.73 / $74.25 / $88.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $136.41 / $257.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.94 / $179.94 / $465.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $389.52 / $588.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $88.64 / $88.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $88.64 / $1,000,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $44.22 / $70.42