Bifocal contact lens with high power and astigmatism correction

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 sphcyl bifo 7.25-12/2.2

Payers reporting HCPCS V2212

Payer pricing summary

Low

$28

Average

$122

Median

$110

High

$293

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	336	$103	$104	$24	23%	—	$27 – $351
2	Aetna fee schedule · outpatient · +12 other terms	321	$104	$124	$66	54%	—	$45 – $707
3	Humana fee schedule · outpatient · +9 other terms	316	$106	$150	$146	98%	—	$74 – $718
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$104	$127	$87	69%	—	$0 – $502
5	WellCare fee schedule · outpatient · +4 other terms	202	$102	$104	$20	19%	—	$91 – $203
6	Devoted fee schedule · outpatient · +2 other terms	164	$102	$99	$9	10%	—	$93 – $127
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$109	$101	$10	10%	—	$93 – $128
8	Molina fee schedule · outpatient · +5 other terms	109	$129	$132	$50	38%	—	$92 – $249
9	Cigna fee schedule · outpatient · +6 other terms	95	$120	$123	$34	28%	—	$92 – $278
10	Anthem fee schedule · outpatient · +6 other terms	74	$120	$117	$15	13%	—	$93 – $189
11	Kaiser fee schedule · outpatient · +4 other terms	61	$127	$178	$120	67%	—	$106 – $776
12	Superior Healthplan fee schedule · outpatient	40	$98	$98	$0	0%	—	$92 – $98
13	Clover fee schedule · outpatient · +2 other terms	37	$102	$103	$4	4%	—	$98 – $124
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$170	$192	$45	23%	—	$100 – $254
15	Oscar fee schedule · outpatient · +3 other terms	32	$107	$111	$29	26%	—	$91 – $182
16	Optum fee schedule · outpatient · +3 other terms	26	$116	$122	$40	33%	—	$91 – $233
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$77	$79	102%	—	$20 – $249
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$129	$120	$15	13%	—	$88 – $132
19	Bcbs Tx fee schedule · outpatient	18	$92	$92	—	—	—	$92 – $92
20	Medicare fee schedule · outpatient · +1 other terms	18	$120	$120	$1	1%	—	$120 – $122
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$122	$121	$2	2%	—	$116 – $122
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$95	$110	$27	25%	—	$52 – $150
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$86	$86	$20	23%	—	$42 – $101
24	Wellmark fee schedule · both · +1 other terms	13	$82	$84	$9	10%	—	$82 – $136
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$77	$87	$11	13%	—	$77 – $100

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