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See a sample rate comparisonHCPCS V2111 Fee Schedule
HCPCS V2111 is classified under Vision Services, in the Lenses, Single Vision subgroup.
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Single Vision |
| Complexity Level | Low |
| Medicaid Fee Schedule | $48.27 median of the 8 states in the free preview · View Medicaid rates for V2111 |
National average reimbursement for HCPCS V2111 by major payers:
$70.90
BCBS / Anthem
$38.84
UnitedHealthcare
$53.70
Aetna
$96.52
Cigna
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HCPCS V2111
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$125.95Published rateIrwin County Hospital
$45.79Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$36.43Published rateMiguel Arenas
Miguel A Arenas Md PC
$30.54Published rateAlicia Encinas
Miguel A Arenas Md PC
$20.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2111 vs. Other Lenses, Single Vision Codes
The table lists codes related to V2111. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2110-HCPCS | Low | Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens |
| V2111-HCPCS | Low | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
| V2112-HCPCS | Low | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d 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 V2111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2111 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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