Rate Benchmarking
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See a sample rate comparisonHCPCS V2213 Fee Schedule
HCPCS V2213 is classified under Vision Services, in the Lenses, Bifocals subgroup.
Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $81.71 median of the 8 states in the free preview · View Medicaid rates for V2213 |
National average reimbursement for HCPCS V2213 by major payers:
$96.81
BCBS / Anthem
$55.49
UnitedHealthcare
$76.57
Aetna
$121.80
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2213.
HCPCS V2213
5 of 25 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$123.27Published rateMichael Koch
Chestatee Pathology Associates PC
$51.04Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$48.90Published rateClinch County Hospital Authority
$44.43Published rateAlicia Encinas
Miguel A Arenas Md PC
$30.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2213 vs. Other Lenses, Bifocals Codes
The table lists codes related to V2213. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2212-HCPCS | Low | Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens |
| V2213-HCPCS | Low | Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens |
| V2214-HCPCS | Low | Spherocylinder, bifocal, sphere over plus or minus 12.00d, 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 V2213. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2213 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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