Other type of 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

HC LENS CUSTOM COSMETIC ASC SUPPLY, ALCON PREMIUM PLUS TORIC

Payers reporting HCPCS V2599

Payer pricing summary

Low

Average

$133

Median

$119

High

$417

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Ucare other · inpatient · +4 other terms	2	$388	$233	$109	47%	11–110	$198 – $577
2	WellCare percent of total billed charges · outpatientfrom % of charges · +1 other terms	1	$52	$52	—	—	1–10	$52 – $52
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +11 other terms	24	$32	$83	$127	154%	—	$28 – $455
4	Molina facility · case rate · outpatient · +10 other terms	17	$16	$222	$174	79%	—	$11 – $525
5	Anthem facility · case rate · outpatient · +8 other terms	15	$15	$17	$4	23%	—	$10 – $26
6	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	22%	—	$10 – $27
7	MultiPlan percent of total billed charges · outpatientfrom % of charges · +7 other terms	15	$211	$214	$201	94%	—	$12 – $872
8	UnitedHealthcare facility · case rate · outpatient · +10 other terms	15	$16	$17	$4	23%	—	$11 – $27
9	Aetna professional · fee schedule · outpatient · +15 other terms	12	$52	$52	—	—	—	$52 – $52
10	Bcbs Mn fee schedule · outpatient · +7 other terms	12	$107	$89	$47	52%	—	$28 – $134
11	First Health percent of total billed charges · outpatientfrom % of charges · +5 other terms	12	$203	$281	$193	69%	—	$68 – $841
12	Optum facility · case rate · outpatient · +6 other terms	11	$14	$16	$3	21%	—	$13 – $24
13	Cigna professional · fee schedule · outpatient · +9 other terms	10	$44	$30	$18	61%	—	$4 – $44
14	Sanford Health Plan percent of total billed charges · outpatientfrom % of charges · +3 other terms	9	$146	$208	$156	75%	—	$91 – $604
15	Humana fee schedule · outpatient · +6 other terms	7	$4	$3	$1	33%	—	$1 – $4
16	Bcbs Id percent of total billed charges · bothfrom % of charges · +1 other terms	4	$99	$101	$39	38%	—	$47 – $169
17	Regence percent of total billed charges · outpatientfrom % of charges · +3 other terms	4	$108	$105	$39	37%	—	$42 – $158
18	Healthpartners professional · percent of total billed charges · bothfrom % of charges · +1 other terms	2	$47	$47	$3	6%	—	$43 – $48
19	Kaiser fee schedule · both · +3 other terms	2	$77	$77	—	—	—	$77 – $77
20	Medica fee schedule · outpatient · +4 other terms	2	$261	$261	$261	100%	—	$74 – $630
21	Medicaid fee schedule · outpatient · +2 other terms	2	$1	$1	—	—	—	$1 – $1
22	Oscar facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms	2	$146	$118	$69	59%	—	$42 – $283
23	Tricare facility · fee schedule · outpatient	2	$173	$173	—	—	—	$173 – $173
24	Aetna Better Health facility · percent of total billed charges · bothfrom % of charges	1	$74	$74	$63	85%	—	$38 – $184
25	Ambetter percent of total billed charges · outpatientfrom % of charges	1	$61	$61	—	—	—	$61 – $61

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