Anti-reflective lens coating, 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

Anti-reflective coating

Payers reporting HCPCS V2750

Payer pricing summary

Low

Average

$33

Median

$31

High

$71

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	337	$31	$28	$6	21%	—	$11 – $78
2	Aetna fee schedule · outpatient · +12 other terms	321	$31	$33	$17	51%	—	$14 – $190
3	Humana fee schedule · outpatient · +9 other terms	316	$31	$46	$50	109%	—	$18 – $240
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	208	$31	$36	$22	61%	—	$0 – $130
5	WellCare fee schedule · outpatient · +4 other terms	202	$32	$32	$4	14%	—	$23 – $49
6	Devoted fee schedule · outpatient · +2 other terms	164	$31	$30	$3	9%	—	$22 – $33
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$32	$31	$2	8%	—	$23 – $34
8	Molina fee schedule · outpatient · +4 other terms	109	$36	$41	$17	40%	—	$19 – $82
9	Cigna fee schedule · outpatient · +7 other terms	95	$31	$31	$8	27%	—	$22 – $72
10	Anthem fee schedule · outpatient · +8 other terms	75	$23	$28	$18	63%	—	$22 – $184
11	Kaiser fee schedule · outpatient · +4 other terms	61	$24	$39	$28	72%	—	$22 – $171
12	Ambetter facility · fee schedule · outpatient · +5 other terms	41	$42	$52	$17	32%	—	$23 – $78
13	Superior Healthplan fee schedule · outpatient	40	$33	$33	$0	0%	—	$31 – $33
14	Clover fee schedule · outpatient · +2 other terms	37	$31	$29	$4	13%	—	$25 – $33
15	Oscar fee schedule · outpatient · +3 other terms	32	$33	$35	$6	19%	—	$30 – $50
16	Optum fee schedule · outpatient · +3 other terms	26	$27	$32	$16	52%	—	$22 – $78
17	Caresource facility · case rate · outpatient · +4 other terms	20	$11	$22	$19	86%	—	$7 – $62
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$24	$24	$2	7%	—	$19 – $25
19	Bcbs Tx fee schedule · outpatient	18	$31	$31	—	—	—	$31 – $31
20	Medicare fee schedule · outpatient · +1 other terms	18	$22	$23	$0	1%	—	$22 – $23
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$37	$37	$1	2%	—	$36 – $37
22	Tricare facility · fee schedule · outpatient · +2 other terms	16	$26	$26	$2	7%	—	$23 – $31
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$25	$28	$7	25%	—	$13 – $39
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$46	$45	$18	41%	—	$25 – $75
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$22	$22	$5	23%	—	$11 – $26

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