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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 4.25d/12-2d

Payers reporting HCPCS V2107

Payer pricing summary

Low

$18

Average

$73

Median

$67

High

$199

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	336	$61	$63	$13	21%	—	$11 – $187
2	Aetna fee schedule · outpatient · +12 other terms	321	$65	$74	$40	54%	—	$27 – $435
3	Humana fee schedule · outpatient · +9 other terms	316	$63	$97	$106	109%	—	$42 – $511
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$65	$78	$53	68%	—	$0 – $307
5	WellCare fee schedule · outpatient · +4 other terms	202	$63	$68	$14	20%	—	$52 – $138
6	Devoted fee schedule · outpatient · +2 other terms	164	$60	$64	$4	7%	—	$53 – $72
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$64	$66	$3	5%	—	$57 – $73
8	Molina fee schedule · outpatient · +5 other terms	109	$81	$89	$35	39%	—	$48 – $174
9	Cigna fee schedule · outpatient · +6 other terms	95	$62	$70	$23	33%	—	$54 – $177
10	Anthem fee schedule · outpatient · +6 other terms	74	$57	$62	$11	17%	—	$52 – $116
11	Kaiser fee schedule · outpatient · +4 other terms	61	$58	$93	$67	72%	—	$55 – $413
12	Superior Healthplan fee schedule · outpatient	40	$70	$70	$0	0%	—	$65 – $70
13	Clover fee schedule · outpatient · +2 other terms	37	$69	$67	$3	5%	—	$60 – $71
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$104	$115	$26	23%	—	$52 – $151
15	Oscar fee schedule · outpatient · +3 other terms	32	$65	$73	$18	24%	—	$63 – $116
16	Optum fee schedule · outpatient · +3 other terms	26	$60	$70	$34	48%	—	$52 – $166
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$54	$40	74%	—	$20 – $141
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$59	$57	$4	7%	—	$47 – $61
19	Bcbs Tx fee schedule · outpatient	18	$65	$65	—	—	—	$65 – $65
20	Medicare fee schedule · outpatient · +1 other terms	18	$55	$55	$0	1%	—	$55 – $56
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$72	$72	$1	2%	—	$69 – $72
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$58	$67	$17	25%	—	$32 – $92
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$53	$53	$12	23%	—	$26 – $62
24	Wellmark fee schedule · both · +1 other terms	13	$47	$48	$6	12%	—	$47 – $83
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$47	$52	$6	11%	—	$47 – $59

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