Bifocal eyeglass lens, moderate-strength prescription

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Lens sphere bifocal 4.12-7.0

Payers reporting HCPCS V2201

Payer pricing summary

Low

$18

Average

$89

Median

$80

High

$255

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	338	$75	$72	$21	30%	—	$15 – $260
2	Aetna fee schedule · outpatient · +12 other terms	322	$77	$92	$53	57%	—	$30 – $546
3	Humana fee schedule · outpatient · +11 other terms	316	$77	$114	$121	106%	—	$54 – $587
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	213	$75	$95	$66	69%	—	$0 – $368
5	WellCare fee schedule · outpatient · +4 other terms	202	$79	$80	$19	23%	—	$66 – $177
6	Devoted fee schedule · outpatient · +2 other terms	164	$76	$75	$4	5%	—	$68 – $93
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$76	$77	$5	6%	—	$68 – $94
8	Molina fee schedule · outpatient · +5 other terms	110	$97	$105	$40	38%	—	$64 – $200
9	Cigna fee schedule · outpatient · +8 other terms	95	$76	$88	$30	34%	—	$67 – $227
10	Anthem fee schedule · outpatient · +7 other terms	74	$77	$81	$13	16%	—	$67 – $142
11	Kaiser fee schedule · outpatient · +4 other terms	61	$80	$128	$93	73%	—	$76 – $575
12	Superior Healthplan fee schedule · outpatient	40	$80	$80	$0	0%	—	$75 – $80
13	Clover fee schedule · outpatient · +2 other terms	37	$89	$81	$8	10%	—	$68 – $91
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$124	$136	$26	19%	—	$67 – $171
15	Oscar fee schedule · outpatient · +3 other terms	32	$75	$86	$25	29%	—	$72 – $148
16	Optum fee schedule · outpatient · +3 other terms	26	$76	$87	$37	42%	—	$66 – $191
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$62	$55	87%	—	$20 – $182
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$82	$79	$5	7%	—	$65 – $84
19	Bcbs Tx fee schedule · outpatient	18	$75	$75	—	—	—	$75 – $75
20	Medicare fee schedule · outpatient · +1 other terms	18	$76	$76	$1	1%	—	$76 – $77
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$82	$81	$2	2%	—	$78 – $82
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$69	$80	$20	25%	—	$37 – $109
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$62	$62	$15	23%	—	$30 – $73
24	Wellmark fee schedule · both · +1 other terms	13	$63	$64	$6	9%	—	$63 – $99
25	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$56	$61	$5	9%	—	$56 – $67

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