Single-vision lens with high cylinder 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

Spherocylinder 4.00d/>6.00d

Payers reporting HCPCS V2106

Payer pricing summary

Low

$16

Average

$75

Median

$65

High

$208

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	337	$60	$63	$15	23%	—	$27 – $215
2	Aetna fee schedule · outpatient · +12 other terms	321	$60	$74	$43	58%	—	$25 – $434
3	Humana fee schedule · outpatient · +9 other terms	316	$60	$92	$98	106%	—	$44 – $474
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	212	$60	$80	$61	77%	—	$0 – $345
5	WellCare fee schedule · outpatient · +4 other terms	202	$61	$65	$15	23%	—	$56 – $144
6	Devoted fee schedule · outpatient · +2 other terms	164	$57	$60	$3	5%	—	$54 – $76
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$61	$62	$4	7%	—	$56 – $77
8	Molina fee schedule · outpatient · +5 other terms	110	$79	$85	$32	38%	—	$46 – $162
9	Cigna fee schedule · outpatient · +6 other terms	95	$60	$72	$27	38%	—	$54 – $190
10	Anthem fee schedule · outpatient · +6 other terms	74	$56	$63	$12	20%	—	$54 – $130
11	Kaiser fee schedule · outpatient · +4 other terms	61	$57	$99	$79	79%	—	$54 – $476
12	Superior Healthplan fee schedule · outpatient	40	$65	$65	$0	0%	—	$60 – $65
13	Clover fee schedule · outpatient · +2 other terms	37	$72	$67	$6	9%	—	$57 – $74
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$117	$114	$23	21%	—	$56 – $143
15	Oscar fee schedule · outpatient · +3 other terms	32	$60	$68	$16	24%	—	$60 – $108
16	Optum fee schedule · outpatient · +3 other terms	26	$57	$69	$30	44%	—	$54 – $154
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$55	$42	77%	—	$20 – $149
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$58	$58	$2	3%	—	$54 – $62
19	Bcbs Tx fee schedule · outpatient	18	$60	$60	—	—	—	$60 – $60
20	Medicare fee schedule · outpatient · +1 other terms	18	$54	$54	$0	1%	—	$54 – $55
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$69	$68	$1	2%	—	$65 – $69
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$65	$75	$19	25%	—	$35 – $103
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$59	$59	$14	23%	—	$29 – $69
24	Wellmark fee schedule · both · +1 other terms	13	$49	$50	$7	14%	—	$49 – $93
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$53	$54	$1	3%	—	$53 – $56

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