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
Boulder, CO
See all hospitals reporting HCPCS V2109 →Price type
Boulder Community Health’s median price of $66 is 6% below the median hospital's median price ($71), higher than 36% 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: 8 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $55 | $55 | $6 | 11% | — | $49 – $61 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 6 | Humana medicare advantage professional · fee schedule · both | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $62 | $62 | $0 | 0% | — | $62 – $63 |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 11 | Kaiser medicare advantage professional · fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 12 | Aetna commercial professional · fee schedule · both | $73 | $73 | $22 | 31% | — | $51 – $95 |
| 13 | Kaiser commercial professional · fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 14 | MultiPlan commercial professional · fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 15 | Phcs commercial professional · fee schedule · both | $93 | $93 | — | — | — | $93 – $93 |
| 16 | Anthem commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 17 | Anthem managed care professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 18 | Kaiser commercial facility · case rate · outpatient | $132 | $132 | $16 | 12% | — | $116 – $148 |
| 19 | Kaiser managed care facility · case rate · outpatient | $147 | $147 | — | — | — | $147 – $147 |
Last updated: Sep 16, 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.