Single-vision variable asphericity eyeglass 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 variab asphericity sing

Payers reporting HCPCS V2410

Payer pricing summary

Low

$38

Average

$152

Median

$138

High

$381

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	336	$128	$124	$30	24%	—	$54 – $431
2	Aetna fee schedule · outpatient · +11 other terms	321	$130	$150	$86	57%	—	$49 – $966
3	Humana fee schedule · outpatient · +9 other terms	316	$132	$190	$207	109%	—	$87 – $996
4	WellCare fee schedule · outpatient · +4 other terms	202	$133	$133	$26	20%	—	$108 – $264
5	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	200	$127	$158	$119	75%	—	$0 – $668
6	Devoted fee schedule · outpatient · +2 other terms	164	$129	$127	$11	8%	—	$110 – $149
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$129	$128	$8	6%	—	$110 – $151
8	Molina fee schedule · outpatient · +5 other terms	109	$167	$177	$69	39%	—	$112 – $339
9	Cigna fee schedule · outpatient · +7 other terms	95	$141	$143	$45	31%	—	$108 – $369
10	Anthem fee schedule · outpatient · +6 other terms	74	$142	$136	$23	17%	—	$108 – $252
11	Kaiser fee schedule · outpatient · +4 other terms	61	$149	$219	$150	68%	—	$130 – $953
12	Superior Healthplan fee schedule · outpatient	40	$136	$136	$1	0%	—	$127 – $136
13	Clover fee schedule · outpatient · +2 other terms	37	$133	$128	$10	8%	—	$110 – $146
14	Oscar fee schedule · outpatient · +4 other terms	32	$127	$143	$43	30%	—	$115 – $249
15	Ambetter facility · fee schedule · outpatient · +5 other terms	31	$227	$226	$40	18%	—	$108 – $274
16	Optum fee schedule · outpatient · +4 other terms	26	$135	$148	$62	42%	—	$108 – $324
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	$152	$143	$16	11%	—	$108 – $155
19	Bcbs Tx fee schedule · outpatient	18	$127	$127	—	—	—	$127 – $127
20	Medicare fee schedule · outpatient · +1 other terms	18	$141	$141	$1	1%	—	$141 – $143
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$132	$130	$3	2%	—	$125 – $132
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$126	$145	$36	25%	—	$69 – $199
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$114	$114	$27	23%	—	$56 – $134
24	Wellmark fee schedule · both · +1 other terms	13	$97	$99	$13	14%	—	$97 – $181
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$103	$105	$2	2%	—	$103 – $108

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