Trifocal eyeglass lens with high cylinder 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 sphcyl trifocal 4.00/>6

Payers reporting HCPCS V2306

Payer pricing summary

Low

$26

Average

$130

Median

$123

High

$317

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	336	$109	$113	$24	22%	—	$32 – $326
2	Aetna fee schedule · outpatient · +12 other terms	321	$111	$133	$68	52%	—	$45 – $656
3	Humana fee schedule · outpatient · +9 other terms	316	$111	$182	$210	116%	—	$78 – $1.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$127	$138	$88	64%	—	$0 – $521
5	WellCare fee schedule · outpatient · +4 other terms	202	$117	$128	$22	17%	—	$95 – $220
6	Devoted fee schedule · outpatient · +2 other terms	164	$111	$122	$13	10%	—	$98 – $139
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$114	$125	$10	8%	—	$103 – $135
8	Molina fee schedule · outpatient · +5 other terms	109	$143	$172	$70	41%	—	$95 – $343
9	Cigna fee schedule · outpatient · +6 other terms	95	$111	$127	$40	31%	—	$98 – $288
10	Anthem fee schedule · outpatient · +6 other terms	74	$111	$116	$15	13%	—	$96 – $196
11	Kaiser fee schedule · outpatient · +4 other terms	61	$116	$165	$112	68%	—	$98 – $720
12	Superior Healthplan fee schedule · outpatient	40	$137	$137	$1	0%	—	$128 – $137
13	Clover fee schedule · outpatient · +2 other terms	37	$110	$115	$12	10%	—	$103 – $137
14	Oscar fee schedule · outpatient · +3 other terms	32	$128	$131	$23	18%	—	$108 – $172
15	Ambetter facility · fee schedule · outpatient · +5 other terms	30	$177	$197	$46	23%	—	$101 – $257
16	Optum fee schedule · outpatient · +3 other terms	26	$109	$132	$68	52%	—	$95 – $327
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$80	$84	105%	—	$20 – $262
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$118	$110	$13	12%	—	$82 – $120
19	Bcbs Tx fee schedule · outpatient	18	$128	$128	—	—	—	$128 – $128
20	Medicare fee schedule · outpatient · +1 other terms	18	$109	$109	$1	1%	—	$109 – $111
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$123	$122	$2	2%	—	$117 – $123
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$98	$114	$28	25%	—	$53 – $155
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$89	$89	$21	23%	—	$43 – $105
24	Wellmark fee schedule · both · +1 other terms	13	$87	$88	$9	10%	—	$87 – $141
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$80	$89	$10	11%	—	$80 – $101

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