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
Spherocylindr 4.00d/2.12-4d
Pittsfield, ME
See all hospitals reporting HCPCS V2104 →Price type
Sebasticook Valley Health’s median price of $44 is 19% below the median hospital's median price ($54), higher than 7% of the 732 hospitals reporting HCPCS V2104. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 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 | Cigna commercial professional · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Aetna commercial professional · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Anthem commercial professional · fee schedule · outpatient | $44 | $36 | $22 | 62% | — | $6 – $59 |
| 4 | Anthem enhanced pathways professional · fee schedule · outpatient | $44 | $36 | $22 | 62% | — | $6 – $59 |
| 5 | Anthem enhanced pathways facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 6 | Cigna commercial facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 7 | Anthem commercial facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 8 | UnitedHealthcare commercial professional · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
Last updated: Mar 30, 2026
See Single-vision spherocylinder eyeglass lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.