Bifocal lens with prescription power, 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 4.25-7d/.

Payers reporting HCPCS V2207

Payer pricing summary

Low

$22

Average

$92

Median

$81

High

$247

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	336	$77	$79	$17	22%	—	$20 – $248
2	Aetna fee schedule · outpatient · +12 other terms	321	$77	$92	$50	55%	—	$34 – $527
3	Humana fee schedule · outpatient · +9 other terms	316	$78	$114	$113	100%	—	$56 – $554
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$78	$97	$69	71%	—	$0 – $396
5	WellCare fee schedule · outpatient · +4 other terms	202	$77	$79	$17	22%	—	$71 – $171
6	Devoted fee schedule · outpatient · +2 other terms	164	$77	$74	$3	4%	—	$70 – $95
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$79	$76	$6	8%	—	$72 – $96
8	Molina fee schedule · outpatient · +5 other terms	109	$97	$101	$37	37%	—	$65 – $189
9	Cigna fee schedule · outpatient · +6 other terms	95	$79	$91	$30	33%	—	$71 – $220
10	Anthem fee schedule · outpatient · +6 other terms	74	$77	$83	$12	15%	—	$73 – $149
11	Kaiser fee schedule · outpatient · +4 other terms	61	$80	$124	$88	71%	—	$75 – $549
12	Superior Healthplan fee schedule · outpatient	40	$76	$76	$0	0%	—	$71 – $76
13	Clover fee schedule · outpatient · +2 other terms	37	$86	$82	$5	6%	—	$76 – $93
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$135	$147	$33	22%	—	$75 – $191
15	Oscar fee schedule · outpatient · +3 other terms	32	$80	$86	$24	27%	—	$71 – $145
16	Optum fee schedule · outpatient · +3 other terms	26	$77	$88	$32	37%	—	$69 – $180
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$64	$56	88%	—	$20 – $187
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$81	$78	$6	8%	—	$62 – $83
19	Bcbs Tx fee schedule · outpatient	18	$71	$71	—	—	—	$71 – $71
20	Medicare fee schedule · outpatient · +1 other terms	18	$75	$76	$1	1%	—	$75 – $77
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$92	$91	$2	2%	—	$87 – $92
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$75	$86	$21	25%	—	$41 – $118
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$68	$68	$16	23%	—	$33 – $80
24	Wellmark fee schedule · both · +1 other terms	13	$62	$63	$7	12%	—	$62 – $107
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$61	$67	$7	10%	—	$61 – $75

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