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Wisconsin rates for HCPCS V2311

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $95.50 / $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
$51.29 / $181.97 / $245.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $104.71 / $125.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $125.89 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $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
$117.49 / $194.98 / $323.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $616.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $190.55 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $58.88 / $95.50