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Wisconsin rates for HCPCS V2761

Mirror coating, any type, solid, gradient or equal, any lens material, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $21.38 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $34.67 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.49 / $23.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.23 / $15.85
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $40.74 / $47.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.96 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.76 / $12.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $21.88 / $34.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $16.98 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.76 / $11.75