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
Dubuque, IA
See all hospitals reporting HCPCS V2109 →Price type
The Finley Hospital’s median price of $62 is 11% below the median hospital's median price ($71), higher than 21% 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, 17 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 hmo fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 2 | UnitedHealthcare ppo fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Wellmark commercial fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Wellmark hmo fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 5 | Wellmark ppo fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 6 | Aetna hmo fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 7 | Aetna ppo fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Aetna medicare advantage case rate · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 9 | Molina medicare advantage case rate · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 10 | Wellmark medicare advantage case rate · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 11 | Humana medicare advantage case rate · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 13 | Aetna hmo fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 14 | Aetna ppo fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 15 | UnitedHealthcare hmo fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 16 | UnitedHealthcare ppo fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 17 | Cigna commercial fee schedule · both | $113 | $113 | — | — | — | $113 – $113 |
Last updated: Jan 28, 2026
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