Rate Benchmarking
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See a sample rate comparisonHCPCS V2025 Fee Schedule
HCPCS V2025 is classified under Vision Services, in the Spectacle Frames subgroup.
Deluxe frame
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Spectacle Frames |
| Complexity Level | Low |
| Medicaid Fee Schedule | $47.50 median of the 8 states in the free preview · View Medicaid rates for V2025 |
National average reimbursement for HCPCS V2025 by major payers:
$109.24
BCBS / Anthem
$141.43
UnitedHealthcare
$70.63
Aetna
$43.03
Cigna
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HCPCS V2025
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2025 vs. Other Spectacle Frames Codes
The table lists codes related to V2025. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2020-HCPCS | Low | Frames, purchases |
| V2025-HCPCS | Low | Deluxe frame |
| V2100-HCPCS | Low | Sphere, single vision, plano to plus or minus 4.00, per lens |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2025 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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