Bifocal contact lens (PMMA), 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

Contact lens pmma bifocal

Payers reporting HCPCS V2502

Payer pricing summary

Low

$64

Average

$250

Median

$218

High

$701

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	337	$190	$203	$45	22%	—	$91 – $619
2	Aetna fee schedule · outpatient · +10 other terms	321	$193	$245	$142	58%	—	$83 – $1.6k
3	Humana fee schedule · outpatient · +9 other terms	316	$205	$295	$295	100%	—	$148 – $1.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	212	$190	$268	$206	77%	—	$0 – $1.1k
5	WellCare fee schedule · outpatient · +4 other terms	202	$193	$207	$53	26%	—	$183 – $486
6	Devoted fee schedule · outpatient · +2 other terms	164	$187	$191	$9	5%	—	$187 – $254
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$200	$195	$16	8%	—	$187 – $256
8	Molina fee schedule · outpatient · +5 other terms	110	$254	$261	$97	37%	—	$158 – $489
9	Cigna fee schedule · outpatient · +6 other terms	95	$205	$236	$85	36%	—	$183 – $634
10	Anthem fee schedule · outpatient · +6 other terms	74	$209	$223	$39	18%	—	$183 – $433
11	Kaiser fee schedule · outpatient · +4 other terms	61	$213	$325	$221	68%	—	$187 – $1.4k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	40	$361	$383	$61	16%	—	$183 – $517
13	Superior Healthplan fee schedule · outpatient	40	$196	$196	$1	0%	—	$183 – $196
14	Clover fee schedule · outpatient · +2 other terms	37	$244	$218	$25	12%	—	$187 – $249
15	Oscar fee schedule · outpatient · +3 other terms	32	$196	$225	$77	34%	—	$183 – $421
16	Optum fee schedule · outpatient · +3 other terms	26	$201	$232	$83	36%	—	$187 – $467
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$150	$160	106%	—	$36 – $498
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$218	$205	$22	11%	—	$156 – $222
19	Bcbs Tx fee schedule · outpatient	18	$183	$183	—	—	—	$183 – $183
20	Medicare fee schedule · outpatient · +1 other terms	18	$201	$202	$2	1%	—	$201 – $205
21	Amerihealth Caritas fee schedule · outpatient	16	$224	$222	$4	2%	—	$213 – $224
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$217	$249	$62	25%	—	$118 – $342
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$197	$197	$46	23%	—	$96 – $231
24	Tricare facility · fee schedule · outpatient · +2 other terms	13	$237	$228	$19	8%	—	$183 – $249
25	Wellmark fee schedule · both · +1 other terms	13	$194	$197	$19	10%	—	$194 – $311

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