Rate Benchmarking
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See a sample rate comparisonHCPCS V2199 Fee Schedule
HCPCS V2199 is classified under Vision Services, in the Lenses, Single Vision subgroup.
Not otherwise classified, single vision lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Single Vision |
| Complexity Level | Low |
| Medicaid Fee Schedule | $42.56 median of the 5 states in the free preview · View Medicaid rates for V2199 |
National average reimbursement for HCPCS V2199 by major payers:
$99.94
BCBS / Anthem
$23.95
UnitedHealthcare
$49.42
Aetna
$56.65
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2199.
HCPCS V2199
4 of 4 sample ratesHigher to lower in this preview
Bruce Madsen
Eyecare Associates PC
$27.00Published rateBruce Madsen
Bridgeport Eye Physicians LLC
$27.00Published rateBruce Madsen
Eyecare Associates PC
$27.00Published rateBruce Madsen
Bridgeport Eye Physicians LLC
$27.00Published rate
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Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS V2199 vs. Other Lenses, Single Vision Codes
The table lists codes related to V2199. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2121-HCPCS | Low | Lenticular lens, per lens, single |
| V2199-HCPCS | Low | Not otherwise classified, single vision lens |
| V2200-HCPCS | Low | Sphere, bifocal, plano to plus or minus 4.00d, 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 V2199. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2199 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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Bring your top codes (like HCPCS V2199) and we'll show you how you compare in 15 minutes or less.