HCPCS V2121
Lenticular lens, per lens, single
Current code21 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $97.86 – $759 | — | — |
| Deaconess Medical Center | $136 – $473 | — | — |
| Kadlec Regional Medical Center | $171 – $319 | — | — |
| Mary Bridge Children's Hospital | $97.86 – $833 | — | — |
| MultiCare Auburn Medical Center | $95.14 – $491 | — | — |
| MultiCare Covington Medical Center | $95.14 – $491 | — | — |
| MultiCare Good Samaritan Hospital | $110 – $491 | — | — |
| MultiCare Valley Hospital | $109 – $472 | — | — |
| Overlake Hospital Medical Center & Clinics | $104 – $312 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $176 – $377 | — | — |
| Providence Centralia Hospital | $192 – $425 | — | — |
| Providence Regional Medical Center Everett | $136 – $263 | — | — |
| Providence St Peter Hospital | $96.53 – $371 | — | — |
| Swedish Edmonds Hospital | $170 – $417 | — | — |
| Swedish Issaquah | $170 – $252 | — | — |
| Swedish Medical Center | $170 – $406 | — | — |
| Swedish Medical Center / Cherry Hill | $170 – $406 | — | — |
| Tacoma General Allenmore Hospital | $95.14 – $491 | — | — |
| Virginia Mason Medical Center | $109 – $395 | — | — |
| Wellfound Behavioral Health Hospital | $287 | — | — |
| Yakima Valley Memorial | $97.86 – $295 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $114 (fee)