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Bifocal Segment Width over 28 mm

Wisconsin rates for HCPCS V2219

Bifocal seg width over 28mm

Rates data updated July 2026.

Facilitymedian $60 · 10th–90th $44$1950%20%10th90th$60Professionalmedian $47 · 10th–90th $23$790%10%20%10th90th$47$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$44.67
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$87.10
Typical High
$114.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$51.29
Typical High
$60.26
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$93.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$29.51
Typical High
$56.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$93.33
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$51.29
Typical High
$60.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$158.49
Quartz
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$281.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$91.20
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.84
Typical High
$45.71