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
3014403 - INTRAOCULAR CLAREON 0 D 18.0 D 3 CYL MOD L L13 MM OD6 MM
Summit, WI
See all hospitals reporting HCPCS V2787 →Price type
Aurora Medical Center Summit’s median price of $260 is 56% below the median hospital's median price ($585), higher than 16% of the 1,042 hospitals reporting HCPCS V2787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $194 | $194 | — | — | — | $194 – $194 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $238 | $238 | — | — | — | $238 – $238 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $238 | $238 | — | — | — | $238 – $238 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $238 | $238 | — | — | — | $238 – $238 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $238 | $238 | — | — | — | $238 – $238 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $300 | $300 | — | — | — | $300 – $300 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $300 | $300 | — | — | — | $300 – $300 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $300 | $300 | — | — | — | $300 – $300 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $300 | $300 | — | — | — | $300 – $300 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $338 | $338 | — | — | — | $338 – $338 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $338 | $338 | — | — | — | $338 – $338 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $340 | $340 | — | — | — | $340 – $340 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $340 | $340 | — | — | — | $340 – $340 |
Last updated: Nov 21, 2025
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