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Wisconsin rates for HCPCS V2511

Contact lens, gas permeable, toric, prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $162.18 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $691.83 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $316.23 / $416.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $186.21 / $218.78
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $208.93 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $331.13 / $575.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $331.13 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $162.18