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Wisconsin rates for HCPCS V2212

Spherocylinder Bifocal Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 2.25 To 4.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.70 / $77.70 / $77.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $77.70 / $90.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.29 / $86.29 / $105.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.55 / $198.55 / $198.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.61 / $291.69 / $331.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $134.53 / $175.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.45 / $77.70 / $92.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.76 / $81.59 / $143.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.04 / $46.29 / $86.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.76 / $77.70 / $92.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $142.80 / $265.85
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.34 / $188.34 / $481.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $407.75 / $607.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $92.78 / $92.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $92.78 / $1,000,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $45.66 / $73.90