Toric prism ballast gas permeable contact 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

Cntct toric prism ballast

Payers reporting HCPCS V2511

Payer pricing summary

Low

$54

Average

$252

Median

$228

High

$732

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	337	$209	$217	$47	22%	—	$95 – $647
2	Aetna fee schedule · outpatient · +14 other terms	321	$228	$259	$141	55%	—	$86 – $1.5k
3	Humana fee schedule · outpatient · +13 other terms	316	$223	$336	$372	111%	—	$155 – $1.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	212	$228	$290	$213	74%	—	$0 – $1.2k
5	WellCare fee schedule · outpatient · +5 other terms	202	$228	$239	$53	22%	—	$191 – $508
6	Devoted fee schedule · outpatient · +2 other terms	164	$195	$221	$19	9%	—	$188 – $265
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$209	$226	$15	7%	—	$195 – $268
8	Molina fee schedule · outpatient · +8 other terms	110	$271	$310	$122	39%	—	$163 – $610
9	Cigna fee schedule · outpatient · +12 other terms	95	$209	$242	$84	35%	—	$188 – $652
10	Anthem fee schedule · outpatient · +12 other terms	74	$195	$220	$43	20%	—	$188 – $445
11	Kaiser fee schedule · outpatient · +8 other terms	61	$199	$322	$233	73%	—	$188 – $1.4k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	40	$377	$392	$68	17%	—	$191 – $549
13	Superior Healthplan fee schedule · outpatient	40	$245	$244	$1	0%	—	$228 – $245
14	Clover fee schedule · outpatient · +2 other terms	37	$255	$236	$24	10%	—	$195 – $260
15	Oscar fee schedule · outpatient · +7 other terms	32	$228	$251	$62	25%	—	$205 – $398
16	Optum fee schedule · outpatient · +8 other terms	26	$195	$245	$118	48%	—	$188 – $582
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$155	$168	108%	—	$36 – $520
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$203	$196	$13	7%	—	$163 – $207
19	Bcbs Tx fee schedule · outpatient	18	$228	$228	—	—	—	$228 – $228
20	Medicare fee schedule · outpatient · +3 other terms	18	$188	$188	$1	1%	—	$188 – $191
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$234	$232	$5	2%	—	$222 – $234
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$223	$256	$63	25%	—	$121 – $352
23	Tricare facility · fee schedule · outpatient · +2 other terms	14	$233	$227	$21	9%	—	$191 – $260
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$202	$202	$47	23%	—	$99 – $237
25	Wellmark fee schedule · both · +1 other terms	13	$211	$214	$17	8%	—	$211 – $320

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