go back

Wisconsin rates for HCPCS V2430

Variable asphericity lens, bifocal, full field, glass or plastic, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $107.15 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $407.38 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $190.55 / $251.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $109.65 / $131.83
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $158.49 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $131.83 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $389.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $812.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $199.53 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $97.72