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Wisconsin rates for HCPCS V2399

Specialty Trifocal (By Report)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.47 / $83.47 / $83.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.64 / $83.47 / $83.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $65.56 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.20 / $385.20 / $385.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.47 / $83.47 / $87.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.47 / $83.47 / $157.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.47 / $83.47 / $87.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $100.00 / $157.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.20 / $385.20 / $385.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00