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Wisconsin rates for HCPCS V2215

Lenticular (myodisc), per lens, bifocal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $93.33 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $398.11 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $186.21 / $245.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $107.15 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $120.23 / $154.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $120.23 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $117.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $190.55 / $302.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $645.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $194.98 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $95.50