Balance lens for eyeglasses, 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

Balance lens

Payers reporting HCPCS V2700

Payer pricing summary

Low

$19

Average

$71

Median

$64

High

$174

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	336	$61	$60	$13	21%	—	$26 – $178
2	Aetna fee schedule · outpatient · +12 other terms	321	$62	$72	$43	60%	—	$24 – $558
3	Humana fee schedule · outpatient · +9 other terms	316	$62	$94	$104	111%	—	$43 – $499
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	211	$64	$75	$50	67%	—	$0 – $291
5	WellCare fee schedule · outpatient · +4 other terms	202	$64	$65	$12	18%	—	$53 – $121
6	Devoted fee schedule · outpatient · +2 other terms	164	$62	$62	$5	8%	—	$54 – $73
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$63	$63	$4	6%	—	$54 – $74
8	Molina fee schedule · outpatient · +5 other terms	109	$84	$87	$34	40%	—	$53 – $170
9	Cigna fee schedule · outpatient · +7 other terms	95	$62	$68	$21	31%	—	$53 – $161
10	Anthem fee schedule · outpatient · +6 other terms	74	$62	$63	$10	16%	—	$53 – $116
11	Kaiser fee schedule · outpatient · +4 other terms	61	$64	$95	$63	66%	—	$54 – $394
12	Ambetter facility · fee schedule · outpatient · +5 other terms	43	$99	$105	$18	17%	—	$53 – $134
13	Superior Healthplan fee schedule · outpatient	40	$68	$68	$0	0%	—	$64 – $68
14	Clover fee schedule · outpatient · +2 other terms	37	$61	$61	$5	8%	—	$54 – $72
15	Oscar fee schedule · outpatient · +4 other terms	32	$64	$71	$21	29%	—	$56 – $122
16	Optum fee schedule · outpatient · +4 other terms	26	$61	$70	$32	46%	—	$53 – $162
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$54	$40	75%	—	$20 – $143
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$66	$61	$8	13%	—	$45 – $67
19	Bcbs Tx fee schedule · outpatient	18	$64	$64	—	—	—	$64 – $64
20	Medicare fee schedule · outpatient · +1 other terms	18	$61	$61	$0	1%	—	$61 – $62
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$64	$64	$1	2%	—	$61 – $64
22	Tricare facility · fee schedule · outpatient · +2 other terms	16	$65	$63	$4	6%	—	$53 – $66
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$55	$64	$16	25%	—	$30 – $87
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$110	$111	$46	42%	—	$62 – $188
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$50	$50	$12	23%	—	$24 – $58

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