Extended-wear gas permeable contact 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

Contact lens extended wear

Payers reporting HCPCS V2513

Payer pricing summary

Low

$52

Average

$270

Median

$246

High

$726

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	336	$217	$221	$52	24%	—	$95 – $701
2	Aetna fee schedule · outpatient · +11 other terms	321	$236	$265	$150	57%	—	$86 – $1.6k
3	Humana fee schedule · outpatient · +11 other terms	316	$224	$356	$417	117%	—	$154 – $2.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	211	$253	$294	$236	80%	—	$0 – $1.4k
5	WellCare fee schedule · outpatient · +5 other terms	202	$249	$253	$55	22%	—	$190 – $504
6	Devoted fee schedule · outpatient · +2 other terms	164	$194	$236	$32	13%	—	$186 – $273
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$207	$241	$26	11%	—	$194 – $266
8	Molina fee schedule · outpatient · +7 other terms	109	$281	$340	$137	40%	—	$161 – $676
9	Cigna fee schedule · outpatient · +10 other terms	95	$203	$245	$93	38%	—	$186 – $757
10	Anthem fee schedule · outpatient · +7 other terms	74	$194	$219	$48	22%	—	$186 – $516
11	Kaiser fee schedule · outpatient · +6 other terms	61	$197	$339	$257	76%	—	$186 – $1.6k
12	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$271	$271	$1	0%	—	$253 – $271
13	Ambetter facility · fee schedule · outpatient · +5 other terms	39	$382	$402	$72	18%	—	$190 – $484
14	Clover fee schedule · outpatient · +2 other terms	37	$253	$240	$28	12%	—	$194 – $271
15	Oscar fee schedule · outpatient · +4 other terms	32	$253	$266	$70	26%	—	$203 – $424
16	Optum fee schedule · outpatient · +4 other terms	26	$194	$251	$139	55%	—	$186 – $645
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$155	$166	108%	—	$36 – $516
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$201	$199	$7	4%	—	$176 – $205
19	Bcbs Tx fee schedule · outpatient	18	$253	$253	—	—	—	$253 – $253
20	Medicare fee schedule · outpatient · +3 other terms	18	$186	$187	$1	1%	—	$186 – $190
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$232	$230	$5	2%	—	$221 – $232
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$258	$295	$74	25%	—	$141 – $408
23	Tricare facility · fee schedule · outpatient · +2 other terms	14	$233	$227	$21	9%	—	$190 – $258
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$235	$235	$55	23%	—	$114 – $275
25	Wellmark fee schedule · both · +1 other terms	13	$171	$176	$32	18%	—	$171 – $371

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