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Contact Lens, Hydrophilic, Toric or Prism Ballast

Wisconsin rates for HCPCS V2521

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

Rates data updated July 2026.

Facilitymedian $288 · 10th–90th $214$9550%20%10th90th$288Professionalmedian $191 · 10th–90th $89$3470%10%10th90th$191$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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$416.87
Typical High
$562.34
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$245.47
Typical High
$288.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$446.68
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$245.47
Typical High
$288.40
Quartz
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$645.65
Quartz
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,174.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$436.52
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$288.40