Hydrophilic spherical 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

CONTACT LENS HYDROPHILIC

Payers reporting HCPCS V2520

Payer pricing summary

Low

$27

Average

$160

Median

$144

High

$479

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	344	$146	$143	$32	23%	—	$56 – $475
2	Aetna fee schedule · outpatient · +16 other terms	327	$150	$171	$93	54%	—	$56 – $957
3	Humana fee schedule · outpatient · +15 other terms	318	$147	$221	$246	111%	—	$101 – $1.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	219	$152	$188	$140	74%	—	$0 – $794
5	WellCare fee schedule · outpatient · +6 other terms	202	$152	$158	$35	22%	—	$125 – $332
6	Devoted fee schedule · outpatient · +3 other terms	164	$128	$146	$13	9%	—	$123 – $174
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$137	$150	$12	8%	—	$128 – $175
8	Molina fee schedule · outpatient · +12 other terms	114	$178	$206	$80	39%	—	$106 – $405
9	Cigna fee schedule · outpatient · +13 other terms	95	$138	$164	$61	37%	—	$123 – $439
10	Anthem fee schedule · outpatient · +12 other terms	74	$128	$144	$27	19%	—	$123 – $299
11	Kaiser fee schedule · outpatient · +8 other terms	61	$130	$217	$171	79%	—	$123 – $1.1k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	41	$247	$249	$52	21%	—	$125 – $319
13	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$162	$162	$1	0%	—	$152 – $162
14	Clover fee schedule · outpatient · +2 other terms	37	$167	$155	$16	10%	—	$128 – $170
15	Oscar fee schedule · outpatient · +8 other terms	32	$151	$160	$29	18%	—	$134 – $217
16	Optum fee schedule · outpatient · +9 other terms	27	$128	$162	$78	48%	—	$123 – $386
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$89	$78	87%	—	$36 – $340
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$133	$133	$4	3%	—	$119 – $137
19	Bcbs Tx fee schedule · outpatient	18	$152	$152	—	—	—	$152 – $152
20	Medicare fee schedule · outpatient · +3 other terms	18	$123	$123	$1	1%	—	$123 – $125
21	Amerihealth Caritas fee schedule · outpatient · +4 other terms	16	$153	$152	$3	2%	—	$146 – $153
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$150	$172	$43	25%	—	$81 – $236
23	Tricare facility · fee schedule · outpatient · +2 other terms	15	$166	$156	$16	10%	—	$125 – $170
24	Bcbs Mn fee schedule · outpatient · +7 other terms	13	$136	$136	$32	23%	—	$66 – $159
25	Medica fee schedule · outpatient · +6 other terms	13	$265	$263	$86	33%	—	$147 – $375

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