Bifocal lenticular lens (myodisc)

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 lenticular bifocal

Payers reporting HCPCS V2215

Payer pricing summary

Low

$36

Average

$144

Median

$123

High

$344

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	336	$120	$119	$28	24%	—	$42 – $426
2	Aetna fee schedule · outpatient · +10 other terms	321	$121	$143	$88	62%	—	$54 – $1.1k
3	Humana fee schedule · outpatient · +9 other terms	316	$121	$179	$186	104%	—	$83 – $899
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$123	$156	$119	76%	—	$0 – $689
5	WellCare fee schedule · outpatient · +4 other terms	202	$120	$125	$22	17%	—	$102 – $238
6	Devoted fee schedule · outpatient · +2 other terms	164	$117	$117	$6	5%	—	$102 – $141
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$121	$120	$6	5%	—	$106 – $143
8	Molina fee schedule · outpatient · +5 other terms	110	$151	$159	$62	39%	—	$27 – $306
9	Cigna fee schedule · outpatient · +6 other terms	95	$125	$135	$44	32%	—	$102 – $381
10	Anthem fee schedule · outpatient · +6 other terms	74	$106	$116	$24	21%	—	$96 – $260
11	Kaiser fee schedule · outpatient · +4 other terms	61	$109	$197	$158	80%	—	$102 – $942
12	Superior Healthplan fee schedule · outpatient	40	$123	$123	$1	0%	—	$115 – $123
13	Clover fee schedule · outpatient · +2 other terms	37	$122	$123	$4	3%	—	$120 – $139
14	Oscar fee schedule · outpatient · +3 other terms	32	$127	$138	$39	28%	—	$115 – $236
15	Ambetter facility · fee schedule · outpatient · +5 other terms	30	$234	$237	$52	22%	—	$102 – $303
16	Optum fee schedule · outpatient · +3 other terms	26	$116	$132	$56	43%	—	$102 – $292
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$103	$80	77%	—	$36 – $278
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$111	$113	$4	4%	—	$106 – $123
19	Bcbs Tx fee schedule · outpatient	18	$115	$115	—	—	—	$115 – $115
20	Medicare fee schedule · outpatient · +1 other terms	18	$102	$103	$1	1%	—	$102 – $104
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$145	$144	$3	2%	—	$138 – $145
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$130	$149	$37	25%	—	$71 – $205
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$118	$118	$28	23%	—	$57 – $138
24	Wellmark fee schedule · both · +1 other terms	13	$92	$94	$15	16%	—	$92 – $186
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$106	$111	$6	6%	—	$106 – $119

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