Special base curve lens, glass or plastic

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

Special base curve

Payers reporting HCPCS V2730

Payer pricing summary

Low

Average

$34

Median

$32

High

$76

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	337	$26	$28	$7	24%	—	$13 – $86
2	Aetna fee schedule · outpatient · +10 other terms	322	$27	$34	$19	55%	—	$11 – $209
3	Humana fee schedule · outpatient · +9 other terms	316	$27	$47	$56	119%	—	$19 – $265
4	WellCare fee schedule · outpatient · +4 other terms	202	$27	$33	$5	16%	—	$25 – $50
5	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	201	$34	$38	$29	77%	—	$0 – $169
6	Devoted fee schedule · outpatient · +2 other terms	164	$26	$31	$4	13%	—	$25 – $36
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$28	$32	$4	11%	—	$26 – $35
8	Molina fee schedule · outpatient · +5 other terms	109	$38	$45	$19	42%	—	$22 – $90
9	Cigna fee schedule · outpatient · +7 other terms	95	$27	$31	$10	32%	—	$25 – $93
10	Anthem fee schedule · outpatient · +7 other terms	74	$26	$28	$6	21%	—	$25 – $64
11	Kaiser fee schedule · outpatient · +4 other terms	61	$26	$43	$31	72%	—	$25 – $189
12	Superior Healthplan fee schedule · outpatient	40	$36	$36	$0	0%	—	$34 – $36
13	Clover fee schedule · outpatient · +2 other terms	37	$26	$28	$4	15%	—	$25 – $36
14	Oscar fee schedule · outpatient · +3 other terms	32	$34	$36	$9	27%	—	$27 – $57
15	Ambetter facility · fee schedule · outpatient · +5 other terms	29	$57	$54	$10	18%	—	$25 – $65
16	Optum fee schedule · outpatient · +3 other terms	26	$26	$33	$19	57%	—	$25 – $86
17	Caresource facility · case rate · outpatient · +4 other terms	20	$11	$23	$21	91%	—	$7 – $69
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$27	$26	$2	7%	—	$22 – $27
19	Bcbs Tx fee schedule · outpatient	18	$34	$34	—	—	—	$34 – $34
20	Medicare fee schedule · outpatient · +1 other terms	18	$25	$25	$0	1%	—	$25 – $25
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$31	$31	$1	2%	—	$29 – $31
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$32	$37	$9	25%	—	$17 – $50
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$29	$29	$7	23%	—	$14 – $34
24	Wellmark fee schedule · both · +1 other terms	13	$23	$23	$4	16%	—	$23 – $46
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$26	$26	$0	1%	—	$25 – $26

Page 1 of 3 · 52 payers