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Contact Lens, PMMA, Toric or Prism Ballast

Wisconsin rates for HCPCS V2501

Contact lens, PMMA, toric or prism ballast, per lens

Rates data updated July 2026.

Facilitymedian $158 · 10th–90th $120$5130%20%10th90th$158Professionalmedian $123 · 10th–90th $62$2090%10%20%10th90th$123$50.0$100.0$200.0$500.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$229.09
Typical High
$302.00
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$165.96
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$245.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$165.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$446.68
Quartz
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$851.14
Quartz
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$239.88
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$74.13
Typical High
$123.03