Extended eye exam with retinal drawing and scleral depression

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

HB-Opscpy Extnd RTA Drawing & Scl Deprsn I&R Uni/Bi

Payers reporting CPT 92201

Payer pricing summary

Low

$25

Average

$135

Median

$104

High

$1.1k

Payer rate distribution

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#
1	Medica professional · fee schedule · outpatient · +14 other terms	16	$26	$26	$4	14%	1–10	$19 – $38
2	Aetna fee schedule · outpatient · +29 other terms	398	$63	$157	$655	417%	—	$1 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +31 other terms	318	$60	$94	$113	121%	—	$1 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	293	$110	$139	$85	61%	—	$0 – $448
5	Humana fee schedule · outpatient · +25 other terms	259	$60	$60	$17	28%	—	$1 – $170
6	Cigna fee schedule · outpatient · +25 other terms	161	$63	$96	$67	70%	—	$20 – $305
7	WellCare fee schedule · outpatient · +15 other terms	141	$64	$70	$23	33%	—	$23 – $139
8	Molina fee schedule · outpatient · +21 other terms	127	$62	$82	$56	68%	—	$1 – $443
9	Anthem fee schedule · outpatient · +22 other terms	95	$87	$92	$96	105%	—	$22 – $653
10	Devoted fee schedule · outpatient · +12 other terms	68	$60	$56	$13	24%	—	$22 – $66
11	Kaiser fee schedule · outpatient · +15 other terms	61	$85	$101	$76	75%	—	$20 – $452
12	Ambetter fee schedule · outpatient · +13 other terms	57	$111	$108	$31	29%	—	$30 – $192
13	Oscar fee schedule · outpatient · +16 other terms	49	$112	$84	$50	60%	—	$1 – $168
14	Optum fee schedule · outpatient · +19 other terms	38	$55	$67	$47	71%	—	$22 – $218
15	Bcbs Tx fee schedule · outpatient · +1 other terms	27	$202	$185	$85	46%	—	$56 – $370
16	Caresource facility · fee schedule · outpatient · +10 other terms	27	$91	$86	$23	27%	—	$45 – $117
17	Clover fee schedule · outpatient · +9 other terms	26	$65	$63	$4	7%	—	$53 – $70
18	Medicare fee schedule · outpatient · +13 other terms	22	$22	$29	$16	55%	—	$20 – $66
19	Regence professional · fee schedule · outpatient · +10 other terms	21	$23	$24	$6	26%	—	$22 – $61
20	Aetna Better Health fee schedule · outpatient · +16 other terms	18	$41	$36	$16	43%	—	$18 – $56
21	First Health fee schedule · outpatient · +11 other terms	16	$62	$77	$36	47%	—	$56 – $194
22	Highmark fee schedule · outpatient · +8 other terms	16	$59	$59	$36	61%	—	$14 – $297
23	MultiPlan fee schedule · outpatient · +18 other terms	16	$98	$98	$11	11%	—	$56 – $140
24	Tricare facility · fee schedule · outpatient · +12 other terms	16	$70	$1.8k	$2.7k	149%	—	$16 – $6.1k
25	Medical Mutual facility · fee schedule · outpatient · +6 other terms	15	$56	$70	$44	63%	—	$30 – $222

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