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See a sample rate comparisonHCPCS V2204 Fee Schedule
HCPCS V2204 is classified under Vision Services, in the Lenses, Bifocals subgroup.
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $52.75 median of the 8 states in the free preview · View Medicaid rates for V2204 |
National average reimbursement for HCPCS V2204 by major payers:
$68.13
BCBS / Anthem
$40.02
UnitedHealthcare
$53.21
Aetna
$83.40
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2204.
HCPCS V2204
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$172.32Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$68.40Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$45.52Published rateLower Oconee Community Hospital Inc
$30.48Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$22.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2204 vs. Other Lenses, Bifocals Codes
The table lists codes related to V2204. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2203-HCPCS | Low | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens |
| V2204-HCPCS | Low | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
| V2205-HCPCS | Low | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 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 V2204. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2204 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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