go back

Wisconsin rates for HCPCS V2780

Oversize Lens, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $12.59 / $16.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $17.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.19 / $32.19 / $32.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $47.39 / $53.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $21.56 / $28.48
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $12.59 / $15.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $13.16 / $20.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $7.51 / $14.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $12.59 / $15.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $23.15 / $43.82
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.53 / $80.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $66.11 / $102.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $7.51 / $12.51