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.
Original text from hospital filings
Spherocylinder 4.25d/4.25-6d
Duluth, MN
See all hospitals reporting HCPCS V2109 →Price type
Aspirus St. Luke’s Hospital’s median price of $81 is 15% above the median hospital's median price ($71), higher than 71% of the 730 hospitals reporting HCPCS V2109. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 9 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn blue cross minnesota commercial plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 2 | Bcbs Mn blue cross minnesota federal employee program fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 3 | Bcbs Mn blue cross minnesota medicaid fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 4 | Bcbs Mn blue cross minnesota state employee plan fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 5 | Anthem anthem medicare advantage plans fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Healthpartners healthpartners medicare advantage plans fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Aetna medicare advantage esa fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 8 | Humana humana medicare ppo/pos/hmo network plans fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 9 | Anthem anthem blue commercial plans fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
Last updated: Apr 1, 2026
See Single-vision eyeglass lens with high prescription power pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.