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Anterior Chamber Intraocular Lens

Wisconsin rates for HCPCS V2630

Anterior chamber intraocular lens

Rates data updated July 2026.

Facilitymedian $141 · 10th–90th $117$5010%20%10th90th$141Professionalmedian $120 · 10th–90th $71$2190%20%10th90th$120$50.0$100.0$200.0$500.0

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
$120.23
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$208.93
Typical High
$275.42
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$141.25
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$229.09
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$141.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$380.19
Quartz
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$676.08
Quartz
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$218.78
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$112.20