CPT 92315 Ophthalmology
C-lens fitg tech aphakia 1 Cost
Body System: Eye
Medicare Facility Rate
$18
CMS PFS CY2026
Medicare Non-Facility Rate
$79
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.44
Work RVU
0.08
Facility PE RVU
0.01
Malpractice RVU
2.37
Total RVU
Frequently Asked Questions
How much does C-lens fitg tech aphakia 1 cost?
The Medicare facility rate is $18. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does C-lens fitg tech aphakia 1 cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $18.