go back

Wisconsin rates for HCPCS V2304

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens

Facilitymedian $83 · 10th–90th $68$2950%20%10th90th$83Professionalmedian $71 · 10th–90th $38$1230%10%20%10th90th$71$2.0$10.0$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $67.61 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $120.23 / $162.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $70.79 / $83.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $147.91 / $173.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $40.74 / $77.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $83.18 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $128.82 / $239.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $457.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $380.19 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $70.79 / $107.15