Polycarbonate eyeglass lenses

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Polycarb lens

Payers reporting HCPCS S0580

Payer pricing summary

Low

Average

$20

Median

$22

High

$38

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +6 other terms	20	$7	$17	$16	97%	—	$7 – $72
2	Anthem facility · case rate · outpatient · +4 other terms	15	$33	$36	$8	23%	—	$23 – $56
3	Caresource facility · case rate · outpatient · +1 other terms	15	$34	$36	$8	23%	—	$23 – $57
4	Molina facility · case rate · outpatient · +1 other terms	15	$33	$36	$8	23%	—	$23 – $56
5	UnitedHealthcare facility · case rate · outpatient · +4 other terms	15	$34	$37	$9	23%	—	$23 – $57
6	Wellmark fee schedule · both	13	$34	$34	—	—	—	$34 – $34
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$16	$12	$7	56%	—	$5 – $20
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	11	$5	$5	$1	23%	—	$0 – $5
9	Optum facility · case rate · outpatient · +1 other terms	11	$31	$34	$8	22%	—	$28 – $51
10	Highmark fee schedule · outpatient · +2 other terms	10	$22	$22	—	—	—	$22 – $22
11	Cigna facility · fee schedule · outpatient · +3 other terms	9	$41	$39	$4	9%	—	$29 – $41
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$7	$7	—	—	—	$7 – $7
13	Humana fee schedule · inpatient · +2 other terms	5	$7	$7	—	—	—	$7 – $7
14	First Health professional · fee schedule · both	3	$8	$8	—	—	—	$8 – $8
15	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Nc facility · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
17	Bcbs Nv fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
18	Bcbs Vt professional · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
19	Healthpartners facility · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29