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Wisconsin rates for HCPCS V2214

Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $85.11 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $323.59 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $147.91 / $194.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $87.10 / $102.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $102.33 / $208.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $50.12 / $95.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $154.88 / $302.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $154.88 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $50.12 / $75.86