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
IOL 22D 6X13MM ACRYSF SN6AT5 1-PC PC BICNVX ACRYLT MTHCRYLT -
River, MA
See all hospitals reporting HCPCS V2787 →Price type
Southcoast Hospitals Group, Inc.’s median price of $0 is 100% below the median hospital's median price ($585), higher than 0% of the 1,050 hospitals reporting HCPCS V2787. 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, 11 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 | Aetna aetna medicare managed care [101030101] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | UnitedHealthcare united health one care [101031004] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | UnitedHealthcare united medicare managed care [101031001] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Bcbs Ri bcbs rhode island hmo [101050101] percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.0k | $52 | 5% | — | $843 – $1.1k |
| 6 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $83 | 5% | — | $1.4k – $1.8k |
| 7 | Cigna cigna [100011201] percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $84 | 5% | — | $1.4k – $1.9k |
| 8 | UnitedHealthcare united healthcare [101080105] percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.8k | $107 | 6% | — | $1.4k – $1.9k |
| 9 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $98 | 5% | — | $1.6k – $2.2k |
| 10 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $98 | 5% | — | $1.6k – $2.2k |
| 11 | Bcbs Ma bcbs massachusetts hmo [101040122] percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.3k | $116 | 5% | — | $1.9k – $2.6k |
Last updated: Dec 15, 2025
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