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See a sample rate comparisonHCPCS V2499 Fee Schedule
HCPCS V2499 is classified under Vision Services, in the Lenses, Aspherical and Variable Sphericity subgroup.
Variable sphericity lens, other type
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Lenses, Aspherical and Variable Sphericity |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $49.41 median of the 5 states in the free preview · View Medicaid rates for V2499 |
National average reimbursement for HCPCS V2499 by major payers:
$214.06
BCBS / Anthem
$48.40
UnitedHealthcare
$29.62
Aetna
$46.96
Cigna
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HCPCS V2499
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2499 vs. Other Lenses, Aspherical and Variable Sphericity Codes
The table lists codes related to V2499. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2430-HCPCS | Low | Variable asphericity lens, bifocal, full field, glass or plastic, per lens |
| V2499-HCPCS | Moderate | Variable sphericity lens, other type |
| V2500-HCPCS | Low | Contact lens, PMMA, spherical, 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 V2499. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2499 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.
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