go back

Wisconsin rates for HCPCS V2797

Vision supply, accessory and/or service component of another HCPCS vision code

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $112.20 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.50 / $22.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $100.00