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HCPCS V2315 Fee Schedule

HCPCS V2315 is classified under Vision Services, in the Lenses, Trifocal subgroup.

Lenticular, (myodisc), per lens, trifocal
Key FactDetail
Service Type

Vision Services

Lenses, Trifocal

Complexity LevelLow
Medicaid Fee Schedule$116.86 median of the 8 states in the free preview · View Medicaid rates for V2315

National average reimbursement for HCPCS V2315 by major payers:

BCBS / Anthem logo

$160.15

BCBS / Anthem

UnitedHealthcare logo

$89.40

UnitedHealthcare

Aetna logo

$124.84

Aetna

Cigna logo

$117.76

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS V2315.

HCPCS V2315
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $349.32Published rate
  2. Atlanta Vamc

    GAGeneral Acute Care HospitalNPI 1902855216Tax ID 58-2091280

    $109.33Published rate
  3. Hospital Authority Of Candler County, Candler County Hospital

    GACritical Access HospitalNPI 1790888089Tax ID 58-6004640

    $91.29Published rate
  4. Northside Hospital, Inc., Northside Hospital Duluth

    GAGeneral Acute Care HospitalNPI 1790715381Tax ID 58-2002413

    $82.93Published rate
  5. Good Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital

    Good Samaritan Hospital Inc

    GACritical Access HospitalNPI 1346209137Tax ID 26-1720984

    $63.50Published rate

National sample. Rates vary by location, specialty, and contract.

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Rate Benchmarking

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Payer Contract Negotiation

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HCPCS V2315 vs. Other Lenses, Trifocal Codes

The table lists codes related to V2315. Select one to see its fee schedule.

CodeComplexityDescription
V2314-HCPCSLowSpherocylinder, trifocal, sphere over plus or minus 12 .00d, per lens
V2315-HCPCSLowLenticular, (myodisc), per lens, trifocal
V2318-HCPCSLowAniseikonic lens, trifocal

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2315. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the V2315 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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