Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS V2301 Fee Schedule
HCPCS V2301 is classified under Vision Services, in the Lenses, Trifocal subgroup.
Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Trifocal |
| Complexity Level | Low |
| Medicaid Fee Schedule | $72.815 median of the 8 states in the free preview · View Medicaid rates for V2301 |
National average reimbursement for HCPCS V2301 by major payers:
$95.03
BCBS / Anthem
$55.87
UnitedHealthcare
$78.98
Aetna
$82.81
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2301.
HCPCS V2301
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$286.08Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$92.33Published rateChristopher Raio
St Joseph Hospital
$52.83Published rateApril Leuzinger
Aztec Urgent Care LLC
$42.59Published rateKristina Jimenez
Miguel A Arenas Md PC
$30.70Published rate
Get a free rate benchmark for your specialty.
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 V2301 vs. Other Lenses, Trifocal Codes
The table lists codes related to V2301. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2300-HCPCS | Low | Sphere, trifocal, plano to plus or minus 4.00d, per lens |
| V2301-HCPCS | Low | Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens |
| V2302-HCPCS | Low | Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, 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 V2301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2301 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS V2301) and we'll show you how you compare in 15 minutes or less.