Photochromic spherical 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 photoch

Payers reporting HCPCS V2524

Payer pricing summary

Low

$62

Average

$199

Median

$177

High

$536

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +6 other terms	451	$171	$192	$88	46%	—	$86 – $1.1k
2	UnitedHealthcare fee schedule · outpatient · +9 other terms	358	$168	$167	$37	22%	—	$76 – $549
3	Humana fee schedule · outpatient · +8 other terms	330	$165	$175	$56	32%	—	$130 – $618
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	269	$175	$210	$132	63%	—	$0 – $1.2k
5	WellCare fee schedule · outpatient · +4 other terms	214	$173	$183	$37	20%	—	$151 – $372
6	Devoted fee schedule · outpatient · +2 other terms	176	$162	$171	$14	8%	—	$145 – $193
7	Molina fee schedule · outpatient · +4 other terms	150	$241	$242	$91	38%	—	$129 – $492
8	Cigna fee schedule · outpatient · +5 other terms	128	$165	$186	$60	32%	—	$145 – $502
9	Cigna Healthspring fee schedule · outpatient · +2 other terms	113	$165	$175	$11	6%	—	$148 – $194
10	Anthem fee schedule · outpatient · +6 other terms	78	$151	$266	$292	110%	—	$145 – $1.3k
11	Kaiser fee schedule · outpatient · +3 other terms	72	$151	$261	$187	72%	—	$132 – $1.2k
12	Oscar fee schedule · outpatient · +3 other terms	62	$251	$251	$80	32%	—	$162 – $494
13	Ambetter facility · fee schedule · outpatient · +5 other terms	60	$274	$293	$58	20%	—	$151 – $386
14	Superior Healthplan fee schedule · outpatient	41	$189	$190	$7	4%	—	$177 – $288
15	Clover fee schedule · outpatient · +2 other terms	38	$187	$178	$13	8%	—	$154 – $191
16	Optum fee schedule · outpatient · +2 other terms	37	$154	$220	$103	47%	—	$145 – $450
17	Caresource fee schedule · outpatient · +4 other terms	28	$154	$172	$32	18%	—	$154 – $301
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$185	$184	$4	2%	—	$176 – $190
19	Bcbs Tx fee schedule · outpatient	18	$177	$177	—	—	—	$177 – $177
20	Medicare fee schedule · outpatient · +1 other terms	18	$145	$145	—	—	—	$145 – $145
21	Regence facility · fee schedule · outpatient · +1 other terms	18	$154	$154	$4	3%	—	$138 – $158
22	Highmark facility · fee schedule · outpatient · +4 other terms	16	$318	$313	$131	42%	—	$179 – $527
23	First Health fee schedule · outpatient · +1 other terms	15	$154	$175	$50	28%	—	$154 – $301
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	14	$171	$197	$50	25%	—	$93 – $271
25	Tricare facility · fee schedule · outpatient · +1 other terms	14	$186	$177	$16	9%	—	$145 – $191

Page 1 of 3 · 52 payers