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.
Original text from hospital filings
Lens sphere trifocal 7.12-20
Low
$21
Average
$129
Median
$119
High
$285
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 1.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 337 | $105 | $112 | $25 | 22% | — | $28 – $333 |
| 2 | Aetna fee schedule · outpatient · +12 other terms | 322 | $107 | $130 | $67 | 52% | — | $46 – $671 |
| 3 | Humana fee schedule · outpatient · +9 other terms | 316 | $106 | $176 | $199 | 113% | — | $78 – $958 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 212 | $122 | $140 | $91 | 65% | — | $0 – $533 |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 202 | $109 | $123 | $18 | 15% | — | $97 – $197 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 164 | $104 | $117 | $11 | 10% | — | $96 – $136 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $111 | $121 | $9 | 8% | — | $100 – $139 |
| 8 | Molina fee schedule · outpatient · +5 other terms | 109 | $143 | $165 | $66 | 40% | — | $84 – $326 |
| 9 | Cigna fee schedule · outpatient · +8 other terms | 95 | $109 | $127 | $43 | 34% | — | $96 – $295 |
| 10 | Anthem fee schedule · outpatient · +7 other terms | 74 | $100 | $114 | $21 | 18% | — | $96 – $201 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $102 | $161 | $118 | 73% | — | $96 – $737 |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $131 | $131 | $1 | 0% | — | $122 – $131 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 37 | $104 | $109 | $12 | 11% | — | $99 – $134 |
| 14 | Ambetter facility · fee schedule · outpatient · +5 other terms | 32 | $181 | $199 | $47 | 24% | — | $102 – $282 |
| 15 | Oscar fee schedule · outpatient · +4 other terms | 32 | $122 | $128 | $22 | 17% | — | $109 – $171 |
| 16 | Optum fee schedule · outpatient · +4 other terms | 26 | $104 | $127 | $65 | 51% | — | $96 – $311 |
| 17 | Caresource facility · case rate · outpatient · +4 other terms | 20 | $32 | $81 | $86 | 106% | — | $20 – $268 |
| 18 | Regence facility · fee schedule · outpatient · +1 other terms | 19 | $104 | $101 | $7 | 7% | — | $84 – $106 |
| 19 | Bcbs Tx fee schedule · outpatient | 18 | $122 | $122 | — | — | — | $122 – $122 |
| 20 | Medicare fee schedule · outpatient · +1 other terms | 18 | $96 | $97 | $1 | 1% | — | $96 – $98 |
| 21 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 16 | $124 | $123 | $2 | 2% | — | $118 – $124 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $100 | $116 | $29 | 25% | — | $55 – $159 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $91 | $91 | $21 | 23% | — | $44 – $107 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $89 | $90 | $9 | 10% | — | $89 – $144 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $82 | $90 | $10 | 11% | — | $82 – $102 |
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