Oversize eyeglass lens, 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

Oversize lens/es

Payers reporting HCPCS V2780

Payer pricing summary

Low

Average

$20

Median

$19

High

$43

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	337	$16	$17	$4	25%	—	$8 – $51
2	Aetna fee schedule · outpatient · +10 other terms	322	$16	$20	$11	54%	—	$9 – $143
3	Humana fee schedule · outpatient · +9 other terms	316	$20	$26	$24	95%	—	$12 – $118
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	212	$21	$22	$14	64%	—	$0 – $81
5	WellCare fee schedule · outpatient · +4 other terms	202	$16	$18	$3	19%	—	$15 – $30
6	Devoted fee schedule · outpatient · +2 other terms	164	$15	$17	$2	14%	—	$15 – $21
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$16	$17	$3	16%	—	$15 – $22
8	Molina fee schedule · outpatient · +5 other terms	109	$22	$21	$8	37%	—	$13 – $40
9	Cigna fee schedule · outpatient · +7 other terms	95	$18	$20	$5	26%	—	$15 – $45
10	Anthem fee schedule · outpatient · +7 other terms	74	$15	$17	$3	20%	—	$15 – $33
11	Kaiser fee schedule · outpatient · +4 other terms	61	$16	$26	$19	72%	—	$15 – $113
12	Superior Healthplan fee schedule · outpatient	40	$16	$16	$0	0%	—	$15 – $16
13	Clover fee schedule · outpatient · +2 other terms	37	$16	$17	$3	16%	—	$15 – $21
14	Oscar fee schedule · outpatient · +3 other terms	32	$20	$20	$6	31%	—	$15 – $35
15	Ambetter facility · fee schedule · outpatient · +5 other terms	31	$29	$36	$11	30%	—	$16 – $51
16	Optum fee schedule · outpatient · +3 other terms	26	$15	$19	$7	38%	—	$15 – $38
17	Caresource facility · case rate · outpatient · +4 other terms	20	$11	$17	$11	64%	—	$7 – $41
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$16	$15	$1	7%	—	$13 – $16
19	Bcbs Tx fee schedule · outpatient	18	$15	$15	—	—	—	$15 – $15
20	Medicare fee schedule · outpatient · +1 other terms	18	$15	$15	$0	1%	—	$15 – $15
21	Amerihealth Caritas fee schedule · outpatient	16	$25	$24	$0	2%	—	$23 – $25
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$15	$18	$4	25%	—	$8 – $24
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$14	$14	$3	23%	—	$7 – $16
24	Wellmark fee schedule · both · +1 other terms	13	$14	$14	$1	10%	—	$14 – $22
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$13	$16	$4	24%	—	$13 – $20

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