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See a sample rate comparisonHCPCS V2209 Fee Schedule
HCPCS V2209 is classified under Vision Services, in the Lenses, Bifocals subgroup.
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $67.18 median of the 8 states in the free preview · View Medicaid rates for V2209 |
National average reimbursement for HCPCS V2209 by major payers:
$81.57
BCBS / Anthem
$47.64
UnitedHealthcare
$64.74
Aetna
$105.43
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2209.
HCPCS V2209
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$216.47Published rateUjuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$94.34Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$41.68Published rateBrooks County Hospital
$37.86Published rateMichael Guillette
Aztec Urgent Care LLC
$35.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2209 vs. Other Lenses, Bifocals Codes
The table lists codes related to V2209. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2208-HCPCS | Low | Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
| V2209-HCPCS | Low | Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2210-HCPCS | Low | Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d 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 V2209. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2209 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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