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
Lenticular lens, single
Edina, MN
See all hospitals reporting HCPCS V2121 →Price type
Fairview Health Services’s median price of $141 is 36% above the median hospital's median price ($104), higher than 83% of the 723 hospitals reporting HCPCS V2121. 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, 29 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 pmap fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Bcbs Mn aware federal fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Sanford Health Plan medicare advantage fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 6 | WellCare medicare advantage fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 7 | Ucare medicare advantage/msho fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 8 | Bcbs Mn medicare advantage fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 9 | Medica medicare advantage non-snp fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Medica medicare advantage non-snp fee schedule · both | $110 | $110 | — | — | — | $110 – $110 |
| 11 | Bcbs Mn aware federal fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 12 | Medica msho/medicare advantage snp fee schedule · both | $112 | $112 | — | — | — | $112 – $112 |
| 13 | Bcbs Mn aware/blue plus fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 14 | Medica managed medicaid/accessability fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 15 | Medica msho/medicare advantage snp fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 16 | Ucare individual and family with m health fairview fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 17 | UnitedHealthcare commercial fee schedule · both | $189 | $189 | — | — | — | $189 – $189 |
| 18 | UnitedHealthcare core fee schedule · both | $189 | $189 | — | — | — | $189 – $189 |
| 19 | Medica bold fee schedule · both | $191 | $191 | — | — | — | $191 – $191 |
| 20 | Medica vantage self insured fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 21 | Medica city of st. paul/essential-uplan fee schedule · both | $213 | $213 | — | — | — | $213 – $213 |
| 22 | Medica individual and family business except aco fee schedule · both | $213 | $213 | — | — | — | $213 – $213 |
| 23 | Medica choice fee schedule · both | $220 | $220 | — | — | — | $220 – $220 |
| 24 | Medica bold fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 25 | Ucare individual and family fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
Last updated: Feb 6, 2026
See Lenticular lens, single lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.