Single-vision eyeglass lens with high prescription 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

Spherocylindr 7.25d/.25-2.25

Payers reporting HCPCS V2111

Payer pricing summary

Low

$19

Average

$84

Median

$73

High

$234

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	336	$70	$71	$15	21%	—	$14 – $207
2	Aetna fee schedule · outpatient · +9 other terms	321	$71	$83	$45	54%	—	$31 – $473
3	Humana fee schedule · outpatient · +9 other terms	316	$71	$107	$111	104%	—	$50 – $541
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$70	$91	$73	80%	—	$0 – $420
5	WellCare fee schedule · outpatient · +4 other terms	202	$72	$75	$17	22%	—	$61 – $162
6	Devoted fee schedule · outpatient · +2 other terms	164	$69	$69	$3	5%	—	$60 – $85
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$72	$72	$5	6%	—	$62 – $86
8	Molina fee schedule · outpatient · +5 other terms	109	$88	$96	$36	38%	—	$52 – $184
9	Cigna fee schedule · outpatient · +5 other terms	95	$71	$80	$30	38%	—	$60 – $232
10	Anthem fee schedule · outpatient · +6 other terms	74	$62	$71	$15	21%	—	$60 – $158
11	Kaiser fee schedule · outpatient · +4 other terms	61	$64	$103	$75	73%	—	$60 – $458
12	Superior Healthplan fee schedule · outpatient	40	$74	$74	$0	0%	—	$69 – $74
13	Clover fee schedule · outpatient · +2 other terms	37	$82	$77	$5	6%	—	$69 – $83
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$143	$135	$30	22%	—	$61 – $173
15	Oscar fee schedule · outpatient · +3 other terms	32	$73	$79	$19	23%	—	$69 – $125
16	Optum fee schedule · outpatient · +2 other terms	26	$69	$79	$34	43%	—	$60 – $176
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$59	$49	82%	—	$20 – $167
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$65	$63	$4	7%	—	$52 – $66
19	Bcbs Tx fee schedule · outpatient	18	$69	$69	—	—	—	$69 – $69
20	Medicare fee schedule · outpatient · +1 other terms	18	$60	$60	$0	1%	—	$60 – $61
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$83	$82	$2	2%	—	$79 – $83
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$79	$91	$23	25%	—	$43 – $125
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$72	$72	$17	23%	—	$35 – $84
24	Wellmark fee schedule · both · +1 other terms	13	$55	$57	$9	17%	—	$55 – $114
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$65	$66	$1	2%	—	$65 – $68

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