Bifocal lens, 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

Lenticular lens, bifocal

Payers reporting HCPCS V2221

Payer pricing summary

Low

$37

Average

$140

Median

$123

High

$333

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	336	$119	$119	$27	23%	—	$53 – $393
2	Aetna fee schedule · outpatient · +10 other terms	320	$121	$143	$91	64%	—	$52 – $1.3k
3	Humana fee schedule · outpatient · +9 other terms	316	$119	$184	$197	107%	—	$86 – $947
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	210	$122	$150	$97	65%	—	$0 – $574
5	WellCare fee schedule · outpatient · +4 other terms	202	$124	$128	$20	16%	—	$104 – $231
6	Devoted fee schedule · outpatient · +2 other terms	163	$118	$121	$6	5%	—	$107 – $147
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$123	$123	$5	4%	—	$112 – $148
8	Molina fee schedule · outpatient · +5 other terms	109	$158	$167	$64	39%	—	$93 – $323
9	Cigna fee schedule · outpatient · +6 other terms	94	$122	$134	$37	27%	—	$107 – $317
10	Anthem fee schedule · outpatient · +6 other terms	74	$112	$120	$21	18%	—	$106 – $235
11	Kaiser fee schedule · outpatient · +4 other terms	61	$114	$192	$144	75%	—	$107 – $870
12	Superior Healthplan fee schedule · outpatient	40	$129	$129	$1	0%	—	$121 – $129
13	Clover fee schedule · outpatient · +2 other terms	37	$118	$122	$6	5%	—	$116 – $144
14	Oscar fee schedule · outpatient · +3 other terms	32	$124	$141	$41	29%	—	$121 – $245
15	Ambetter facility · fee schedule · outpatient · +5 other terms	29	$205	$231	$49	21%	—	$116 – $295
16	Optum fee schedule · outpatient · +3 other terms	26	$116	$133	$61	46%	—	$104 – $308
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$105	$83	79%	—	$36 – $288
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$116	$114	$5	4%	—	$99 – $118
19	Bcbs Tx fee schedule · outpatient	18	$121	$121	—	—	—	$121 – $121
20	Medicare fee schedule · outpatient · +1 other terms	18	$107	$108	$1	1%	—	$107 – $109
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$142	$140	$3	2%	—	$135 – $142
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$108	$125	$31	25%	—	$59 – $171
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$98	$98	$23	23%	—	$48 – $115
24	Wellmark fee schedule · both · +1 other terms	13	$95	$97	$10	10%	—	$95 – $155
25	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$88	$100	$14	14%	—	$88 – $116

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