Intraocular lens (occluder 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 OCCLUDER LENS, PER LENS

Payers reporting HCPCS V2770

Payer pricing summary

Low

Average

$39

Median

$28

High

$216

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	336	$26	$25	$7	30%	—	$4 – $80
2	Aetna fee schedule · outpatient · +11 other terms	321	$26	$31	$20	65%	—	$11 – $293
3	Humana fee schedule · outpatient · +10 other terms	316	$26	$40	$42	105%	—	$18 – $202
4	WellCare fee schedule · outpatient · +5 other terms	202	$27	$28	$6	22%	—	$23 – $60
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	200	$26	$34	$23	67%	—	$0 – $127
6	Devoted fee schedule · outpatient · +3 other terms	164	$25	$26	$1	4%	—	$23 – $32
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$26	$26	$1	4%	—	$24 – $33
8	Molina fee schedule · outpatient · +5 other terms	109	$34	$35	$14	39%	—	$20 – $69
9	Cigna fee schedule · outpatient · +8 other terms	95	$26	$29	$8	28%	—	$23 – $77
10	Anthem fee schedule · outpatient · +6 other terms	74	$24	$26	$5	19%	—	$23 – $52
11	Kaiser fee schedule · outpatient · +4 other terms	61	$25	$41	$29	72%	—	$23 – $177
12	Superior Healthplan fee schedule · outpatient	40	$28	$28	$0	0%	—	$26 – $28
13	Clover fee schedule · outpatient · +2 other terms	37	$30	$28	$2	6%	—	$25 – $32
14	Oscar fee schedule · outpatient · +3 other terms	32	$27	$31	$9	30%	—	$26 – $54
15	Ambetter facility · fee schedule · outpatient · +5 other terms	29	$45	$51	$10	20%	—	$25 – $67
16	Optum fee schedule · outpatient · +5 other terms	26	$24	$29	$13	44%	—	$23 – $66
17	Caresource facility · case rate · outpatient · +4 other terms	20	$11	$22	$19	87%	—	$7 – $64
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$25	$25	$2	7%	—	$20 – $26
19	Bcbs Tx fee schedule · outpatient	18	$26	$26	—	—	—	$26 – $26
20	Medicare fee schedule · outpatient · +2 other terms	18	$23	$24	$0	1%	—	$23 – $24
21	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$30	$30	$1	2%	—	$29 – $30
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$24	$28	$7	25%	—	$13 – $38
23	Bcbs Mn fee schedule · outpatient · +7 other terms	13	$22	$22	$5	23%	—	$11 – $25
24	Wellmark fee schedule · both · +1 other terms	13	$25	$25	$2	6%	—	$25 – $34
25	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$20	$22	$3	12%	—	$20 – $25

Page 1 of 3 · 52 payers