Bifocal contact lens, high prescription, 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 bifo 7.25-12/.25-

Payers reporting HCPCS V2211

Payer pricing summary

Low

$30

Average

$118

Median

$110

High

$288

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	336	$94	$99	$24	24%	—	$25 – $348
2	Aetna fee schedule · outpatient · +12 other terms	321	$96	$119	$67	57%	—	$41 – $738
3	Humana fee schedule · outpatient · +9 other terms	316	$102	$143	$143	99%	—	$72 – $695
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$95	$122	$84	69%	—	$0 – $480
5	WellCare fee schedule · outpatient · +4 other terms	202	$96	$100	$20	20%	—	$87 – $200
6	Devoted fee schedule · outpatient · +2 other terms	164	$94	$95	$9	9%	—	$90 – $123
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$100	$96	$9	10%	—	$90 – $124
8	Molina fee schedule · outpatient · +5 other terms	109	$123	$128	$49	38%	—	$89 – $241
9	Cigna fee schedule · outpatient · +6 other terms	95	$116	$117	$34	29%	—	$89 – $265
10	Anthem fee schedule · outpatient · +6 other terms	74	$116	$112	$16	14%	—	$89 – $186
11	Kaiser fee schedule · outpatient · +4 other terms	61	$123	$177	$120	68%	—	$105 – $770
12	Superior Healthplan fee schedule · outpatient	40	$95	$95	$0	0%	—	$89 – $95
13	Clover fee schedule · outpatient · +2 other terms	37	$100	$99	$4	4%	—	$94 – $121
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$163	$183	$37	20%	—	$92 – $234
15	Oscar fee schedule · outpatient · +3 other terms	32	$98	$108	$34	31%	—	$89 – $194
16	Optum fee schedule · outpatient · +3 other terms	26	$112	$117	$39	34%	—	$87 – $226
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$75	$76	101%	—	$20 – $241
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$125	$117	$14	12%	—	$87 – $128
19	Bcbs Tx fee schedule · outpatient	18	$89	$89	—	—	—	$89 – $89
20	Medicare fee schedule · outpatient · +1 other terms	18	$116	$116	$1	1%	—	$116 – $118
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$112	$111	$2	2%	—	$107 – $112
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$90	$105	$26	25%	—	$49 – $143
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$82	$82	$19	23%	—	$40 – $96
24	Wellmark fee schedule · both · +1 other terms	13	$80	$81	$8	10%	—	$80 – $130
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$74	$81	$9	11%	—	$74 – $92

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