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
Grayling, MI
See all hospitals reporting HCPCS V2109 →Price type
Munson Healthcare Grayling’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: 6 payers, 12 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 | UnitedHealthcare commercial professional · fee schedule · both | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Molina managed medicaid facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 4 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Aetna commercial professional · fee schedule · both | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Humana medicare advantage facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 10 | WellCare medicare advantage facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 11 | Molina medicare advantage facility · fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 12 | Blue Cross Blue Shield commercial professional · fee schedule · both | $91 | $91 | — | — | — | $91 – $91 |
Last updated: Apr 17, 2026
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