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Wisconsin rates for HCPCS V2762

Polarization, any lens material, per lens

Facilitymedian $72 · 10th–90th $59$2570%20%10th90th$72Professionalmedian $60 · 10th–90th $32$1020%20%10th90th$60$1.0$5.0$20.0$100.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $57.54 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $223.87 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $104.71 / $138.04
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $60.26 / $72.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $87.10 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $35.48 / $67.61
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
$53.70 / $67.61 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $109.65 / $190.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $338.84
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $323.59 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $70.79 / $100.00