X-ray of eye sockets

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DI ORBITS LESS THAN 4 VIEW, LIMITED

Payers reporting CPT 70200

Payer pricing summary

Low

$35

Average

$233

Median

$203

High

$786

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$182	$182	$88	49%	22–31	$57 – $244
2	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	530	$145	$186	$154	83%	21	$1 – $2.2k
3	Bcbs Al facility · other · outpatient · +4 other terms	4	$81	$83	$7	9%	19–37	$76 – $99
4	Medicare other · both · +20 other terms	45	$111	$127	$67	53%	13–130	$97 – $601
5	Anthem fee schedule · outpatient · +30 other terms	201	$122	$96	$106	110%	7–70	$2 – $972
6	Aetna fee schedule · outpatient · +38 other terms	682	$117	$201	$320	159%	4–40	$1 – $8.4k
7	Aetna Better Health fee schedule · outpatient · +19 other terms	86	$52	$63	$39	63%	2–20	$31 – $385
8	UnitedHealthcare fee schedule · outpatient · +39 other terms	759	$171	$174	$177	102%	1–10	$1 – $4.2k
9	Cigna fee schedule · outpatient · +33 other terms	524	$165	$208	$166	80%	1–10	$1 – $2.2k
10	Humana fee schedule · outpatient · +33 other terms	407	$107	$134	$154	114%	—	$1 – $3.0k
11	Molina fee schedule · outpatient · +33 other terms	260	$102	$89	$58	65%	—	$1 – $487
12	WellCare fee schedule · outpatient · +26 other terms	169	$108	$113	$46	40%	—	$11 – $402
13	MultiPlan fee schedule · outpatient · +25 other terms	129	$446	$392	$333	85%	—	$17 – $1.4k
14	Kaiser fee schedule · outpatient · +26 other terms	110	$143	$195	$210	108%	—	$1 – $1.2k
15	Ambetter fee schedule · outpatient · +24 other terms	101	$181	$150	$80	53%	—	$10 – $442
16	Devoted facility · fee schedule · outpatient · +19 other terms	100	$106	$139	$381	275%	—	$85 – $4.9k
17	Tricare facility · fee schedule · outpatient · +23 other terms	84	$105	$141	$432	306%	—	$29 – $5.7k
18	Caresource fee schedule · outpatient · +20 other terms	77	$106	$103	$50	49%	—	$1 – $271
19	Oscar facility · fee schedule · outpatient · +23 other terms	71	$153	$146	$53	36%	—	$51 – $351
20	Highmark facility · fee schedule · outpatient · +23 other terms	68	$135	$139	$100	72%	—	$10 – $482
21	First Health fee schedule · outpatient · +19 other terms	66	$177	$254	$325	128%	—	$16 – $1.2k
22	Medicaid facility · fee schedule · outpatient · +19 other terms	63	$55	$70	$43	62%	—	$14 – $166
23	Optum fee schedule · outpatient · +23 other terms	58	$98	$235	$268	114%	—	$14 – $1.1k
24	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	54	$53	$73	$50	68%	—	$21 – $354
25	Medica fee schedule · outpatient · +25 other terms	47	$122	$148	$104	71%	—	$11 – $535

Page 1 of 3 · 72 payers