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See a sample rate comparisonHCPCS V2205 Fee Schedule
HCPCS V2205 is classified under Vision Services, in the Lenses, Bifocals subgroup.
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $58.965 median of the 8 states in the free preview · View Medicaid rates for V2205 |
National average reimbursement for HCPCS V2205 by major payers:
$73.73
BCBS / Anthem
$43.27
UnitedHealthcare
$56.20
Aetna
$92.18
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2205.
HCPCS V2205
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
Mercy Medical Center
$103.04Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$46.61Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$35.29Published rateChi Memorial Hospital
Chi Memorial Hospital - Georgia
$35.00Published rateAlicia Encinas
Miguel A Arenas Md PC
$23.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2205 vs. Other Lenses, Bifocals Codes
The table lists codes related to V2205. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| V2206-HCPCS | Low | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 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 V2205. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2205 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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