Single vision eyeglass lens, high power

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

Singl visn sphere 7.12-20.00

Payers reporting HCPCS V2102

Payer pricing summary

Low

$16

Average

$96

Median

$89

High

$220

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	338	$75	$74	$22	30%	—	$15 – $236
2	Aetna fee schedule · outpatient · +12 other terms	322	$76	$93	$50	54%	—	$32 – $516
3	Humana fee schedule · outpatient · +9 other terms	316	$80	$115	$118	102%	—	$56 – $576
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	213	$75	$102	$88	87%	—	$0 – $502
5	WellCare fee schedule · outpatient · +4 other terms	202	$77	$80	$14	18%	—	$70 – $152
6	Devoted fee schedule · outpatient · +2 other terms	164	$75	$77	$6	8%	—	$71 – $97
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$77	$78	$7	9%	—	$72 – $98
8	Molina fee schedule · outpatient · +5 other terms	110	$97	$104	$40	38%	—	$63 – $196
9	Cigna fee schedule · outpatient · +7 other terms	95	$85	$92	$33	36%	—	$70 – $277
10	Anthem fee schedule · outpatient · +7 other terms	74	$93	$90	$15	17%	—	$70 – $189
11	Kaiser fee schedule · outpatient · +4 other terms	61	$96	$127	$79	62%	—	$71 – $522
12	Superior Healthplan fee schedule · outpatient	40	$79	$79	$0	0%	—	$73 – $79
13	Clover fee schedule · outpatient · +2 other terms	37	$77	$77	$3	4%	—	$72 – $95
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$163	$146	$32	22%	—	$70 – $179
15	Oscar fee schedule · outpatient · +3 other terms	32	$75	$84	$20	23%	—	$73 – $133
16	Optum fee schedule · outpatient · +3 other terms	26	$91	$95	$33	35%	—	$70 – $187
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$64	$57	89%	—	$20 – $190
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$99	$89	$16	17%	—	$59 – $100
19	Bcbs Tx fee schedule · outpatient	18	$73	$73	—	—	—	$73 – $73
20	Medicare fee schedule · outpatient · +1 other terms	18	$91	$91	$1	1%	—	$91 – $93
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$86	$85	$2	2%	—	$82 – $86
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$95	$108	$27	25%	—	$51 – $149
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$86	$86	$20	23%	—	$42 – $101
24	Wellmark fee schedule · both · +1 other terms	13	$63	$65	$12	18%	—	$63 – $136
25	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$77	$74	$3	5%	—	$70 – $77

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