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See a sample rate comparisonHCPCS V2105 Fee Schedule
HCPCS V2105 is classified under Vision Services, in the Lenses, Single Vision subgroup.
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Single Vision |
| Complexity Level | Low |
| Medicaid Fee Schedule | $39.96 median of the 8 states in the free preview · View Medicaid rates for V2105 |
National average reimbursement for HCPCS V2105 by major payers:
$56.43
BCBS / Anthem
$30.91
UnitedHealthcare
$42.43
Aetna
$71.77
Cigna
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HCPCS V2105
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$90.05Published rateThe Hospital Authority Of Habersham County
$37.43Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$25.53Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$24.55Published rateAlicia Encinas
Miguel A Arenas Md PC
$16.37Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2105 vs. Other Lenses, Single Vision Codes
The table lists codes related to V2105. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| V2106-HCPCS | Low | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 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 V2105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2105 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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