Bifocal lens segment, wider than 28 mm

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 bifocal seg width over

Payers reporting HCPCS V2219

Payer pricing summary

Low

$14

Average

$74

Median

$68

High

$160

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	336	$62	$62	$13	22%	—	$26 – $181
2	Aetna fee schedule · outpatient · +10 other terms	321	$63	$73	$36	49%	—	$24 – $364
3	Humana fee schedule · outpatient · +9 other terms	316	$64	$93	$100	107%	—	$24 – $484
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	211	$62	$76	$56	73%	—	$0 – $324
5	WellCare fee schedule · outpatient · +4 other terms	202	$63	$65	$14	21%	—	$53 – $133
6	Devoted fee schedule · outpatient · +2 other terms	164	$63	$62	$5	8%	—	$55 – $74
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$63	$63	$5	8%	—	$55 – $76
8	Molina fee schedule · outpatient · +5 other terms	109	$78	$86	$34	39%	—	$53 – $165
9	Cigna fee schedule · outpatient · +7 other terms	95	$65	$72	$24	34%	—	$53 – $178
10	Anthem fee schedule · outpatient · +6 other terms	74	$71	$69	$10	15%	—	$53 – $122
11	Kaiser fee schedule · outpatient · +4 other terms	61	$73	$96	$60	63%	—	$55 – $400
12	Ambetter facility · fee schedule · outpatient · +5 other terms	41	$105	$107	$21	19%	—	$53 – $136
13	Superior Healthplan fee schedule · outpatient	40	$66	$66	$0	0%	—	$62 – $66
14	Clover fee schedule · outpatient · +2 other terms	37	$67	$64	$5	8%	—	$55 – $73
15	Oscar fee schedule · outpatient · +3 other terms	32	$62	$67	$12	18%	—	$57 – $93
16	Optum fee schedule · outpatient · +3 other terms	26	$70	$74	$30	40%	—	$55 – $157
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$54	$41	76%	—	$20 – $145
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$76	$68	$12	17%	—	$45 – $77
19	Bcbs Tx fee schedule · outpatient	18	$62	$62	—	—	—	$62 – $62
20	Medicare fee schedule · outpatient · +1 other terms	18	$70	$70	$1	1%	—	$70 – $71
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$65	$65	$1	2%	—	$62 – $65
22	Tricare facility · fee schedule · outpatient · +2 other terms	16	$71	$70	$5	7%	—	$53 – $73
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$61	$70	$17	25%	—	$33 – $96
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$123	$124	$51	41%	—	$68 – $206
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$56	$56	$13	23%	—	$27 – $65

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