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Wisconsin rates for HCPCS V2799

Vision Item Or Service Miscellaneous (Revised 12/08/2014)

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.00 / $999.00 / $999.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $90.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51