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See a sample rate comparisonHCPCS V2113 Fee Schedule
HCPCS V2113 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, 4.25 to 6.00d cylinder, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Single Vision |
| Complexity Level | Low |
| Medicaid Fee Schedule | $59.775 median of the 8 states in the free preview · View Medicaid rates for V2113 |
National average reimbursement for HCPCS V2113 by major payers:
$86.16
BCBS / Anthem
$47.62
UnitedHealthcare
$68.23
Aetna
$110.58
Cigna
Compare published rates across providers.
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HCPCS V2113
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$207.97Published rateAnna Jaques Hospital
$100.41Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$46.06Published rateBrooks County Hospital
$41.81Published rateKristina Jimenez
Miguel A Arenas Md PC
$25.04Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2113 vs. Other Lenses, Single Vision Codes
The table lists codes related to V2113. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| V2113-HCPCS | Low | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2114-HCPCS | Low | Spherocylinder, single vision, sphere over plus or minus 12.00d, 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 V2113. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2113 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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