Bifocal hydrophilic 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

Cntct lens hydrophil bifocl

Payers reporting HCPCS V2522

Payer pricing summary

Low

$75

Average

$273

Median

$264

High

$812

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	337	$224	$231	$63	27%	—	$106 – $718
2	Aetna fee schedule · outpatient · +14 other terms	321	$251	$295	$178	60%	—	$96 – $2.2k
3	Humana fee schedule · outpatient · +14 other terms	316	$230	$398	$466	117%	—	$172 – $2.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	212	$283	$327	$217	66%	—	$0 – $1.4k
5	WellCare fee schedule · outpatient · +5 other terms	202	$283	$283	$62	22%	—	$209 – $563
6	Devoted fee schedule · outpatient · +2 other terms	164	$216	$265	$35	13%	—	$208 – $305
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$231	$268	$29	11%	—	$216 – $297
8	Molina fee schedule · outpatient · +7 other terms	110	$314	$375	$156	41%	—	$180 – $756
9	Cigna fee schedule · outpatient · +11 other terms	95	$231	$266	$82	31%	—	$208 – $721
10	Anthem fee schedule · outpatient · +12 other terms	74	$216	$238	$47	20%	—	$208 – $470
11	Kaiser fee schedule · outpatient · +6 other terms	61	$221	$364	$263	72%	—	$208 – $1.6k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	40	$410	$429	$77	18%	—	$212 – $598
13	Superior Healthplan fee schedule · outpatient	40	$303	$303	$1	0%	—	$283 – $303
14	Clover fee schedule · outpatient · +2 other terms	37	$283	$268	$31	12%	—	$216 – $303
15	Oscar fee schedule · outpatient · +7 other terms	32	$283	$302	$83	28%	—	$227 – $490
16	Optum fee schedule · outpatient · +7 other terms	26	$216	$277	$156	56%	—	$208 – $721
17	Caresource facility · case rate · outpatient · +4 other terms	20	$331	$372	$66	18%	—	$216 – $577
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$225	$218	$14	7%	—	$180 – $229
19	Bcbs Tx fee schedule · outpatient	18	$283	$283	—	—	—	$283 – $283
20	Medicare fee schedule · outpatient · +2 other terms	18	$208	$209	$2	1%	—	$208 – $212
21	Amerihealth Caritas fee schedule · outpatient	16	$260	$257	$5	2%	—	$247 – $260
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$217	$251	$62	25%	—	$118 – $343
23	Tricare facility · fee schedule · outpatient · +2 other terms	14	$234	$238	$24	10%	—	$212 – $288
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$197	$197	$46	23%	—	$96 – $231
25	Wellmark fee schedule · both · +1 other terms	13	$255	$256	$9	4%	—	$255 – $311

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