Bifocal variable asphericity lens, full field

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 variable asphericity bi

Payers reporting HCPCS V2430

Payer pricing summary

Low

$46

Average

$174

Median

$156

High

$496

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	336	$147	$147	$32	22%	—	$65 – $450
2	Aetna fee schedule · outpatient · +11 other terms	321	$148	$176	$104	59%	—	$63 – $1.4k
3	Humana fee schedule · outpatient · +9 other terms	316	$148	$225	$239	106%	—	$105 – $1.2k
4	WellCare fee schedule · outpatient · +4 other terms	202	$150	$159	$35	22%	—	$129 – $344
5	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	200	$147	$186	$126	68%	—	$0 – $707
6	Devoted fee schedule · outpatient · +2 other terms	164	$150	$149	$5	3%	—	$132 – $180
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$151	$151	$4	3%	—	$143 – $182
8	Molina fee schedule · outpatient · +5 other terms	109	$193	$204	$79	39%	—	$125 – $393
9	Cigna fee schedule · outpatient · +7 other terms	95	$148	$165	$47	29%	—	$135 – $441
10	Anthem fee schedule · outpatient · +6 other terms	74	$148	$151	$24	16%	—	$131 – $287
11	Kaiser fee schedule · outpatient · +4 other terms	61	$154	$234	$160	68%	—	$136 – $995
12	Superior Healthplan fee schedule · outpatient	40	$157	$157	$1	0%	—	$147 – $157
13	Clover fee schedule · outpatient · +2 other terms	37	$173	$162	$11	7%	—	$143 – $176
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$250	$276	$59	21%	—	$132 – $357
15	Oscar fee schedule · outpatient · +4 other terms	32	$150	$172	$50	29%	—	$147 – $300
16	Optum fee schedule · outpatient · +4 other terms	26	$145	$167	$72	43%	—	$129 – $375
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$119	$107	90%	—	$36 – $353
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$157	$148	$16	11%	—	$113 – $160
19	Bcbs Tx fee schedule · outpatient	18	$147	$147	—	—	—	$147 – $147
20	Medicare fee schedule · outpatient · +1 other terms	18	$145	$145	$1	1%	—	$145 – $148
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$171	$170	$3	2%	—	$163 – $171
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$133	$154	$38	25%	—	$73 – $211
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$121	$121	$28	23%	—	$59 – $142
24	Wellmark fee schedule · both · +1 other terms	13	$117	$119	$12	10%	—	$117 – $191
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$109	$122	$15	13%	—	$109 – $140

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