Bifocal lens with high-power cylinder correction, 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 sphcy bifocal 4.00d/ove

Payers reporting HCPCS V2206

Payer pricing summary

Low

$23

Average

$102

Median

$89

High

$269

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	336	$85	$88	$19	21%	—	$38 – $266
2	Aetna fee schedule · outpatient · +12 other terms	321	$92	$102	$54	53%	—	$41 – $536
3	Humana fee schedule · outpatient · +9 other terms	316	$92	$126	$121	96%	—	$61 – $595
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$92	$110	$81	74%	—	$0 – $469
5	WellCare fee schedule · outpatient · +4 other terms	202	$82	$87	$20	22%	—	$76 – $186
6	Devoted fee schedule · outpatient · +2 other terms	164	$77	$81	$7	9%	—	$74 – $105
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$94	$84	$10	12%	—	$77 – $107
8	Molina fee schedule · outpatient · +5 other terms	109	$110	$109	$40	36%	—	$64 – $203
9	Cigna fee schedule · outpatient · +6 other terms	95	$94	$101	$35	35%	—	$74 – $259
10	Anthem fee schedule · outpatient · +6 other terms	74	$77	$88	$17	19%	—	$74 – $177
11	Kaiser fee schedule · outpatient · +4 other terms	61	$78	$129	$96	75%	—	$74 – $589
12	Superior Healthplan fee schedule · outpatient	40	$81	$81	$0	0%	—	$76 – $81
13	Clover fee schedule · outpatient · +2 other terms	37	$94	$92	$6	6%	—	$81 – $103
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$159	$170	$45	26%	—	$77 – $229
15	Oscar fee schedule · outpatient · +3 other terms	32	$96	$94	$23	25%	—	$76 – $149
16	Optum fee schedule · outpatient · +3 other terms	26	$90	$96	$35	37%	—	$74 – $193
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$68	$63	93%	—	$20 – $205
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$80	$78	$4	5%	—	$67 – $82
19	Bcbs Tx fee schedule · outpatient	18	$76	$76	—	—	—	$76 – $76
20	Medicare fee schedule · outpatient · +1 other terms	18	$74	$74	$1	1%	—	$74 – $75
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$110	$109	$2	2%	—	$105 – $110
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$88	$102	$25	25%	—	$48 – $140
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$80	$80	$19	23%	—	$39 – $94
24	Wellmark fee schedule · both · +1 other terms	13	$68	$69	$9	14%	—	$68 – $127
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$72	$80	$9	11%	—	$72 – $90

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