Bifocal lens sphere power, 7.12 to 20.00 diopters, per lens

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

Lens sphere bifocal 7.12-20.

Payers reporting HCPCS V2202

Payer pricing summary

Low

$17

Average

$106

Median

$96

High

$289

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	337	$85	$84	$25	30%	—	$20 – $286
2	Aetna fee schedule · outpatient · +12 other terms	322	$87	$106	$56	53%	—	$36 – $576
3	Humana fee schedule · outpatient · +9 other terms	316	$94	$132	$137	104%	—	$64 – $667
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	212	$85	$108	$78	72%	—	$0 – $452
5	WellCare fee schedule · outpatient · +4 other terms	202	$89	$93	$21	22%	—	$79 – $201
6	Devoted fee schedule · outpatient · +2 other terms	164	$87	$88	$6	7%	—	$81 – $109
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$87	$89	$8	8%	—	$81 – $112
8	Molina fee schedule · outpatient · +5 other terms	109	$115	$120	$46	38%	—	$79 – $227
9	Cigna fee schedule · outpatient · +7 other terms	95	$100	$105	$36	34%	—	$79 – $257
10	Anthem fee schedule · outpatient · +7 other terms	74	$102	$100	$14	14%	—	$79 – $170
11	Kaiser fee schedule · outpatient · +4 other terms	61	$106	$145	$97	67%	—	$86 – $632
12	Superior Healthplan fee schedule · outpatient	40	$91	$91	$0	0%	—	$85 – $91
13	Clover fee schedule · outpatient · +2 other terms	37	$101	$94	$8	9%	—	$81 – $107
14	Oscar fee schedule · outpatient · +3 other terms	32	$85	$94	$18	19%	—	$85 – $137
15	Ambetter facility · fee schedule · outpatient · +5 other terms	30	$153	$157	$35	22%	—	$79 – $201
16	Optum fee schedule · outpatient · +3 other terms	26	$100	$106	$40	38%	—	$79 – $217
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$69	$66	95%	—	$20 – $215
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$109	$100	$14	14%	—	$72 – $111
19	Bcbs Tx fee schedule · outpatient	18	$85	$85	—	—	—	$85 – $85
20	Medicare fee schedule · outpatient · +1 other terms	18	$100	$101	$1	1%	—	$100 – $102
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$97	$96	$2	2%	—	$92 – $97
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$85	$98	$24	25%	—	$46 – $135
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$77	$77	$18	23%	—	$38 – $91
24	Wellmark fee schedule · both · +1 other terms	13	$71	$72	$8	11%	—	$71 – $122
25	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$70	$73	$5	6%	—	$70 – $79

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