HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Current code21 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS V2784 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$48.88 – $37916 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$67.89 – $2369 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$85.54 – $1595 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$48.88 – $4167 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$47.52 – $24517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$47.52 – $24517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$55.14 – $24512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$54.31 – $23610 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$52.02 – $15610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$87.86 – $1889 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$95.86 – $2125 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$68.06 – $1327 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$48.21 – $1858 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$85.08 – $2087 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$85.08 – $1267 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$85.08 – $2039 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$85.08 – $2039 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$47.52 – $24517 plans——
Virginia Mason Medical CenterSeattle$54.31 – $1977 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1431 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$48.88 – $14713 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$56.72 (fee)