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See a sample rate comparisonHCPCS V2201 Fee Schedule
HCPCS V2201 is classified under Vision Services, in the Lenses, Bifocals subgroup.
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $57.98 median of the 8 states in the free preview · View Medicaid rates for V2201 |
National average reimbursement for HCPCS V2201 by major payers:
$69.29
BCBS / Anthem
$41.17
UnitedHealthcare
$55.60
Aetna
$84.33
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2201.
HCPCS V2201
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$186.75Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$55.75Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$42.31Published rateUjuka Iloabuchi
$33.45Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$29.12Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2201 vs. Other Lenses, Bifocals Codes
The table lists codes related to V2201. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2200-HCPCS | Low | Sphere, bifocal, plano to plus or minus 4.00d, per lens |
| V2201-HCPCS | Low | Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
| V2202-HCPCS | Low | Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, 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 V2201. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2201 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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