Trifocal spherocylinder 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

Lens sphc trifo 7.25-12/2.25

Payers reporting HCPCS V2312

Payer pricing summary

Low

$38

Average

$142

Median

$124

High

$310

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	336	$119	$120	$26	22%	—	$54 – $373
2	Aetna fee schedule · outpatient · +12 other terms	321	$122	$142	$84	59%	—	$52 – $1.1k
3	Humana fee schedule · outpatient · +9 other terms	316	$121	$185	$198	107%	—	$87 – $953
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$122	$156	$107	69%	—	$0 – $626
5	WellCare fee schedule · outpatient · +4 other terms	202	$123	$128	$18	14%	—	$108 – $215
6	Devoted fee schedule · outpatient · +2 other terms	164	$117	$121	$6	5%	—	$105 – $149
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$126	$124	$5	4%	—	$110 – $151
8	Molina fee schedule · outpatient · +5 other terms	109	$155	$168	$64	38%	—	$91 – $325
9	Cigna fee schedule · outpatient · +6 other terms	95	$122	$135	$40	30%	—	$105 – $346
10	Anthem fee schedule · outpatient · +6 other terms	74	$115	$123	$24	20%	—	$105 – $238
11	Kaiser fee schedule · outpatient · +4 other terms	61	$112	$187	$137	73%	—	$105 – $824
12	Superior Healthplan fee schedule · outpatient	40	$130	$130	$1	0%	—	$122 – $130
13	Clover fee schedule · outpatient · +2 other terms	37	$117	$118	$10	8%	—	$108 – $146
14	Oscar fee schedule · outpatient · +3 other terms	32	$123	$142	$42	30%	—	$121 – $249
15	Ambetter facility · fee schedule · outpatient · +5 other terms	30	$212	$235	$46	19%	—	$115 – $309
16	Optum fee schedule · outpatient · +3 other terms	26	$117	$134	$61	46%	—	$105 – $310
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$106	$85	80%	—	$36 – $293
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$114	$111	$6	6%	—	$94 – $116
19	Bcbs Tx fee schedule · outpatient	18	$122	$122	—	—	—	$122 – $122
20	Medicare fee schedule · outpatient · +1 other terms	18	$105	$106	$1	1%	—	$105 – $108
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$141	$139	$3	2%	—	$134 – $141
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$118	$136	$34	25%	—	$64 – $186
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$107	$107	$25	23%	—	$52 – $126
24	Wellmark fee schedule · both · +1 other terms	13	$97	$99	$12	12%	—	$97 – $169
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$96	$104	$9	9%	—	$96 – $115

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