go back

Wisconsin rates for HCPCS V2522

Contact lens, hydrophilic, bifocal, per lens

Facilitymedian $214 · 10th–90th $174$7590%20%10th90th$214Professionalmedian $178 · 10th–90th $87$3160%10%10th90th$178$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $177.83 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $660.69 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $309.03 / $407.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $181.97 / $223.87
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $363.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $331.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $194.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $213.80 / $331.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $323.59 / $630.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $954.99 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $331.13