Trifocal lenticular 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, trifocal

Payers reporting HCPCS V2321

Payer pricing summary

Low

$46

Average

$188

Median

$174

High

$490

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	336	$149	$164	$39	24%	—	$70 – $478
2	Aetna fee schedule · outpatient · +10 other terms	320	$176	$191	$97	51%	—	$85 – $1.2k
3	Humana fee schedule · outpatient · +9 other terms	316	$188	$241	$229	95%	—	$108 – $1.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	210	$194	$206	$128	62%	—	$0 – $764
5	WellCare fee schedule · outpatient · +4 other terms	202	$150	$169	$38	23%	—	$139 – $340
6	Devoted fee schedule · outpatient · +2 other terms	163	$146	$157	$21	13%	—	$138 – $202
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$150	$160	$25	15%	—	$144 – $207
8	Molina fee schedule · outpatient · +5 other terms	109	$204	$203	$76	38%	—	$120 – $382
9	Cigna fee schedule · outpatient · +6 other terms	94	$188	$185	$50	27%	—	$138 – $435
10	Anthem fee schedule · outpatient · +6 other terms	74	$144	$162	$32	20%	—	$138 – $291
11	Kaiser fee schedule · outpatient · +4 other terms	61	$147	$239	$173	72%	—	$138 – $1.1k
12	Superior Healthplan fee schedule · outpatient	40	$153	$153	$1	0%	—	$143 – $153
13	Clover fee schedule · outpatient · +2 other terms	37	$171	$177	$17	10%	—	$153 – $202
14	Oscar fee schedule · outpatient · +3 other terms	32	$192	$187	$51	27%	—	$143 – $303
15	Ambetter facility · fee schedule · outpatient · +5 other terms	29	$259	$346	$104	30%	—	$183 – $480
16	Optum fee schedule · outpatient · +3 other terms	26	$144	$178	$68	38%	—	$138 – $364
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$129	$120	94%	—	$36 – $384
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$150	$145	$10	7%	—	$120 – $153
19	Bcbs Tx fee schedule · outpatient	18	$143	$143	—	—	—	$143 – $143
20	Medicare fee schedule · outpatient · +1 other terms	18	$138	$139	$1	1%	—	$138 – $141
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$230	$228	$5	2%	—	$219 – $230
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$144	$167	$41	25%	—	$78 – $227
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$131	$131	$31	23%	—	$64 – $153
24	Wellmark fee schedule · both · +1 other terms	13	$127	$129	$13	10%	—	$127 – $207
25	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$118	$147	$35	24%	—	$118 – $188

Page 1 of 3 · 52 payers