Bifocal lens upgrade for high add power

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 add over 3.25d

Payers reporting HCPCS V2220

Payer pricing summary

Low

$13

Average

$63

Median

$57

High

$166

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	337	$48	$51	$11	22%	—	$16 – $147
2	Aetna fee schedule · outpatient · +10 other terms	321	$52	$61	$33	55%	—	$20 – $307
3	Humana fee schedule · outpatient · +9 other terms	316	$53	$81	$92	115%	—	$35 – $443
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	212	$56	$68	$52	77%	—	$0 – $288
5	WellCare fee schedule · outpatient · +4 other terms	202	$56	$57	$12	22%	—	$43 – $115
6	Devoted fee schedule · outpatient · +2 other terms	164	$46	$53	$6	12%	—	$44 – $61
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$47	$55	$5	10%	—	$44 – $61
8	Molina fee schedule · outpatient · +5 other terms	110	$63	$76	$30	40%	—	$38 – $151
9	Cigna fee schedule · outpatient · +6 other terms	95	$46	$57	$22	38%	—	$43 – $159
10	Anthem fee schedule · outpatient · +6 other terms	74	$46	$51	$10	20%	—	$43 – $108
11	Kaiser fee schedule · outpatient · +4 other terms	61	$47	$73	$52	71%	—	$44 – $324
12	Ambetter facility · fee schedule · outpatient · +5 other terms	40	$85	$90	$15	17%	—	$43 – $111
13	Superior Healthplan fee schedule · outpatient	40	$61	$60	$0	0%	—	$56 – $61
14	Clover fee schedule · outpatient · +2 other terms	37	$58	$55	$6	11%	—	$44 – $61
15	Oscar fee schedule · outpatient · +3 other terms	32	$56	$59	$14	23%	—	$46 – $88
16	Optum fee schedule · outpatient · +3 other terms	26	$44	$59	$30	51%	—	$44 – $144
17	Caresource facility · case rate · outpatient · +4 other terms	20	$37	$52	$30	57%	—	$23 – $118
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$48	$46	$4	8%	—	$37 – $48
19	Bcbs Tx fee schedule · outpatient	18	$56	$56	—	—	—	$56 – $56
20	Medicare fee schedule · outpatient · +1 other terms	18	$44	$44	$0	1%	—	$44 – $45
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$53	$53	$1	2%	—	$50 – $53
22	Tricare facility · fee schedule · outpatient · +2 other terms	16	$59	$62	$19	31%	—	$43 – $112
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$54	$62	$15	25%	—	$30 – $86
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$102	$101	$42	41%	—	$57 – $167
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$49	$49	$12	23%	—	$24 – $58

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