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
INTRAOCULAR KELMAN MULTIFLEX III +16.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR
Macon, GA
See all hospitals reporting HCPCS V2630 →Price type
Central Georgia Rehabilitation LLC’s median price of $67 is 61% below the median hospital's median price ($170), higher than 6% of the 1,308 hospitals reporting HCPCS V2630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 30 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 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 2 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 5 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 6 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 8 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 9 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 10 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 11 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 12 | Aetna hmo percent of total billed charges · inpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 13 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 14 | Aetna pos percent of total billed charges · inpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 15 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 16 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 17 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 19 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 20 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 21 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 22 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 23 | Aetna medicare advantage fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 24 | Anthem medicare advantage fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 25 | Humana medicare advantage fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
Last updated: Nov 19, 2025
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