Rate Benchmarking
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See a sample rate comparisonHCPCS V2220 Fee Schedule
HCPCS V2220 is classified under Vision Services, in the Lenses, Bifocals subgroup.
Bifocal add over 3.25d
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Bifocals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $36.39 median of the 8 states in the free preview · View Medicaid rates for V2220 |
National average reimbursement for HCPCS V2220 by major payers:
$50.00
BCBS / Anthem
$27.52
UnitedHealthcare
$38.77
Aetna
$66.23
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2220.
HCPCS V2220
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$80.61Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$36.04Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$29.87Published rateKamran Rajaee
$21.62Published ratePatrick Reidy
Florida Gulf Coast Ear, Nose And Throat, LLC
$18.61Published rate
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Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS V2220 vs. Other Lenses, Bifocals Codes
The table lists codes related to V2220. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2219-HCPCS | Low | Bifocal seg width over 28mm |
| V2220-HCPCS | Low | Bifocal add over 3.25d |
| V2221-HCPCS | Low | Lenticular lens, per lens, bifocal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2220 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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Bring your top codes (like HCPCS V2220) and we'll show you how you compare in 15 minutes or less.