Single-vision spherocylinder 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

Spherocylinder 4.25d/over 6d

Payers reporting HCPCS V2110

Payer pricing summary

Low

$16

Average

$82

Median

$75

High

$225

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	337	$64	$71	$16	23%	—	$1 – $199
2	Aetna fee schedule · outpatient · +14 other terms	321	$78	$81	$41	51%	—	$35 – $402
3	Humana fee schedule · outpatient · +9 other terms	316	$78	$100	$94	94%	—	$47 – $462
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	211	$78	$86	$60	70%	—	$0 – $347
5	WellCare fee schedule · outpatient · +4 other terms	202	$63	$70	$18	26%	—	$59 – $156
6	Devoted fee schedule · outpatient · +2 other terms	164	$60	$65	$8	13%	—	$58 – $82
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$81	$67	$10	16%	—	$60 – $85
8	Molina fee schedule · outpatient · +5 other terms	109	$85	$85	$31	37%	—	$50 – $157
9	Cigna fee schedule · outpatient · +8 other terms	95	$72	$81	$27	34%	—	$58 – $200
10	Anthem fee schedule · outpatient · +6 other terms	74	$60	$69	$13	18%	—	$58 – $131
11	Kaiser fee schedule · outpatient · +4 other terms	61	$61	$96	$71	73%	—	$58 – $440
12	Superior Healthplan fee schedule · outpatient	40	$63	$63	$0	0%	—	$59 – $63
13	Clover fee schedule · outpatient · +2 other terms	37	$78	$76	$7	9%	—	$63 – $82
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$118	$137	$44	32%	—	$60 – $196
15	Oscar fee schedule · outpatient · +3 other terms	32	$79	$74	$16	21%	—	$59 – $106
16	Optum fee schedule · outpatient · +3 other terms	26	$72	$76	$27	36%	—	$58 – $150
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$59	$47	80%	—	$20 – $160
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$62	$60	$4	7%	—	$50 – $63
19	Bcbs Tx fee schedule · outpatient	18	$59	$59	—	—	—	$59 – $59
20	Medicare fee schedule · outpatient · +1 other terms	18	$58	$58	$0	1%	—	$58 – $59
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$94	$93	$2	2%	—	$89 – $94
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$65	$75	$19	25%	—	$36 – $103
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$59	$59	$14	23%	—	$29 – $70
24	Wellmark fee schedule · both · +1 other terms	13	$53	$54	$7	12%	—	$53 – $94
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$53	$63	$12	18%	—	$53 – $77

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