Rate Benchmarking
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See a sample rate comparisonHCPCS V2321 Fee Schedule
HCPCS V2321 is classified under Vision Services, in the Lenses, Trifocal subgroup.
Lenticular lens, per lens, trifocal
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Trifocal |
| Complexity Level | Low |
| Medicaid Fee Schedule | $107.655 median of the 8 states in the free preview · View Medicaid rates for V2321 |
National average reimbursement for HCPCS V2321 by major payers:
$155.17
BCBS / Anthem
$87.97
UnitedHealthcare
$123.17
Aetna
$115.76
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V2321.
HCPCS V2321
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$317.75Published rateChristopher Raio
Mercy Medical Center
$141.96Published rateUjuka Iloabuchi
$93.90Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$85.26Published rateMichael Guillette
Aztec Urgent Care LLC
$65.11Published rate
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Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
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See a sample payer proposalHCPCS V2321 vs. Other Lenses, Trifocal Codes
The table lists codes related to V2321. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2320-HCPCS | Low | Trifocal add over 3.25d |
| V2321-HCPCS | Low | Lenticular lens, per lens, trifocal |
| V2399-HCPCS | Low | Specialty trifocal (by report) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2321. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2321 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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