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Wisconsin rates for HCPCS V2305

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens

Facilitymedian $93 · 10th–90th $78$3310%20%10th90th$93Professionalmedian $78 · 10th–90th $42$1380%10%20%10th90th$78$20.0$50.0$100.0$200.0$500.0

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
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $77.62 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $295.12 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $134.90 / $181.97
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $77.62 / $93.33
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $154.88 / $229.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $89.13 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $46.77 / $87.10
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
$70.79 / $93.33 / $144.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $144.54 / $281.84
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $489.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $416.87 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $70.79 / $123.03