Trifocal lens segment, over 28 mm wide

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 trifocal seg width > 28

Payers reporting HCPCS V2319

Payer pricing summary

Low

$16

Average

$82

Median

$72

High

$196

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	336	$64	$67	$15	22%	—	$29 – $202
2	Aetna fee schedule · outpatient · +10 other terms	321	$65	$78	$40	51%	—	$27 – $407
3	Humana fee schedule · outpatient · +9 other terms	316	$64	$101	$109	108%	—	$28 – $528
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$67	$87	$74	85%	—	$0 – $430
5	WellCare fee schedule · outpatient · +4 other terms	202	$67	$71	$13	18%	—	$60 – $136
6	Devoted fee schedule · outpatient · +2 other terms	164	$61	$66	$4	6%	—	$58 – $83
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$65	$68	$5	7%	—	$61 – $84
8	Molina fee schedule · outpatient · +5 other terms	109	$87	$93	$35	38%	—	$51 – $180
9	Cigna fee schedule · outpatient · +6 other terms	95	$64	$76	$31	40%	—	$58 – $238
10	Anthem fee schedule · outpatient · +6 other terms	74	$61	$69	$15	22%	—	$58 – $162
11	Kaiser fee schedule · outpatient · +4 other terms	61	$62	$97	$71	73%	—	$58 – $446
12	Superior Healthplan fee schedule · outpatient	40	$72	$72	$0	0%	—	$67 – $72
13	Clover fee schedule · outpatient · +2 other terms	37	$68	$68	$4	6%	—	$61 – $81
14	Oscar fee schedule · outpatient · +3 other terms	32	$67	$73	$14	19%	—	$64 – $103
15	Ambetter facility · fee schedule · outpatient · +5 other terms	30	$143	$125	$28	22%	—	$60 – $152
16	Optum fee schedule · outpatient · +3 other terms	26	$61	$76	$34	45%	—	$58 – $172
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$58	$47	81%	—	$20 – $162
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$63	$61	$4	7%	—	$51 – $64
19	Bcbs Tx fee schedule · outpatient	18	$67	$67	—	—	—	$67 – $67
20	Medicare fee schedule · outpatient · +1 other terms	18	$58	$59	$0	1%	—	$58 – $60
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$73	$72	$1	2%	—	$69 – $73
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$81	$93	$23	25%	—	$44 – $128
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$74	$74	$17	23%	—	$36 – $86
24	Wellmark fee schedule · both · +1 other terms	13	$54	$55	$10	18%	—	$54 – $116
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$66	$63	$3	5%	—	$60 – $66

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