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See a sample rate comparisonHCPCS V2104 Fee Schedule
HCPCS V2104 is classified under Vision Services, in the Lenses, Single Vision subgroup.
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Single Vision |
| Complexity Level | Low |
| Medicaid Fee Schedule | $40.375 median of the 8 states in the free preview · View Medicaid rates for V2104 |
National average reimbursement for HCPCS V2104 by major payers:
$48.61
BCBS / Anthem
$27.67
UnitedHealthcare
$37.26
Aetna
$60.38
Cigna
Compare published rates across providers.
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HCPCS V2104
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$84.08Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$33.97Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$22.54Published rateDevon Daney
Aztec Urgent Care LLC
$20.85Published rateAlicia Encinas
Miguel A Arenas Md PC
$15.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2104 vs. Other Lenses, Single Vision Codes
The table lists codes related to V2104. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2103-HCPCS | Low | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
| V2104-HCPCS | Low | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
| V2105-HCPCS | Low | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, 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 V2104. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2104 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.
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