Extended-wear hydrophilic 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 LENS HYDROPHIL EXTEND

Payers reporting HCPCS V2523

Payer pricing summary

Low

$48

Average

$234

Median

$214

High

$647

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	342	$198	$201	$57	29%	—	$90 – $625
2	Aetna fee schedule · outpatient · +15 other terms	322	$221	$242	$127	53%	—	$81 – $1.3k
3	Humana fee schedule · outpatient · +15 other terms	316	$199	$319	$359	113%	—	$146 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	211	$221	$267	$208	78%	—	$0 – $1.2k
5	WellCare fee schedule · outpatient · +6 other terms	202	$221	$227	$45	20%	—	$181 – $448
6	Devoted fee schedule · outpatient · +2 other terms	164	$184	$211	$20	10%	—	$177 – $251
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$197	$217	$17	8%	—	$184 – $253
8	Molina fee schedule · outpatient · +10 other terms	109	$251	$300	$118	39%	—	$154 – $590
9	Cigna fee schedule · outpatient · +13 other terms	96	$194	$234	$91	39%	—	$177 – $667
10	Anthem fee schedule · outpatient · +12 other terms	74	$184	$210	$42	20%	—	$177 – $455
11	Kaiser fee schedule · outpatient · +8 other terms	61	$188	$298	$222	74%	—	$177 – $1.4k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	40	$337	$366	$76	21%	—	$181 – $502
13	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$237	$237	$1	0%	—	$221 – $237
14	Clover fee schedule · outpatient · +2 other terms	37	$225	$217	$19	9%	—	$184 – $246
15	Oscar fee schedule · outpatient · +7 other terms	32	$221	$231	$42	18%	—	$194 – $313
16	Optum fee schedule · outpatient · +8 other terms	27	$184	$232	$114	49%	—	$177 – $563
17	Caresource facility · case rate · outpatient · +4 other terms	20	$59	$94	$105	111%	—	$36 – $492
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$192	$187	$11	6%	—	$157 – $195
19	Bcbs Tx fee schedule · outpatient	18	$221	$221	—	—	—	$221 – $221
20	Medicare fee schedule · outpatient · +3 other terms	18	$177	$178	$1	1%	—	$177 – $181
21	Amerihealth Caritas fee schedule · outpatient · +3 other terms	16	$221	$219	$4	2%	—	$210 – $221
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$228	$261	$65	25%	—	$124 – $360
23	Tricare facility · fee schedule · outpatient · +2 other terms	14	$230	$218	$20	9%	—	$181 – $231
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$207	$207	$48	23%	—	$101 – $243
25	Wellmark fee schedule · both · +1 other terms	13	$165	$169	$26	15%	—	$165 – $327

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