Full-field electroretinography test

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

FULL FIELD ERG W/I&R

Payers reporting CPT 92273

Payer pricing summary

Low

$86

Average

$330

Median

$293

High

$912

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +26 other terms	380	$270	$490	$617	126%	—	$1 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	319	$297	$390	$275	71%	—	$1 – $2.3k
3	UnitedHealthcare fee schedule · outpatient · +29 other terms	298	$292	$325	$418	129%	—	$1 – $9.2k
4	Humana fee schedule · outpatient · +24 other terms	252	$283	$258	$85	33%	—	$1 – $696
5	Cigna fee schedule · outpatient · +21 other terms	156	$289	$574	$270	47%	—	$52 – $1.4k
6	WellCare fee schedule · outpatient · +14 other terms	122	$292	$299	$133	45%	—	$34 – $730
7	Molina fee schedule · outpatient · +23 other terms	120	$307	$242	$136	56%	—	$1 – $585
8	Anthem fee schedule · outpatient · +17 other terms	93	$327	$282	$334	118%	—	$34 – $1.9k
9	Ambetter facility · fee schedule · outpatient · +11 other terms	76	$459	$571	$727	127%	—	$176 – $7.1k
10	Devoted fee schedule · outpatient · +9 other terms	68	$239	$244	$75	31%	—	$88 – $345
11	Kaiser fee schedule · outpatient · +15 other terms	61	$313	$410	$342	83%	—	$76 – $2.2k
12	Oscar fee schedule · outpatient · +13 other terms	48	$405	$293	$185	63%	—	$1 – $617
13	Optum fee schedule · outpatient · +14 other terms	40	$210	$287	$202	70%	—	$88 – $1.1k
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$374	$351	$124	35%	—	$115 – $659
15	Caresource facility · fee schedule · outpatient · +9 other terms	31	$332	$298	$133	45%	—	$0 – $580
16	Clover fee schedule · outpatient · +7 other terms	26	$340	$298	$62	21%	—	$195 – $367
17	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$274	$273	$55	20%	—	$206 – $358
18	Regence facility · fee schedule · outpatient · +7 other terms	21	$231	$392	$299	76%	—	$219 – $1.1k
19	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	21	$228	$224	$5	2%	—	$217 – $228
20	Medicare fee schedule · outpatient · +10 other terms	19	$88	$92	$39	43%	—	$76 – $273
21	Aetna Better Health fee schedule · outpatient · +17 other terms	18	$146	$162	$70	43%	—	$98 – $292
22	Highmark fee schedule · outpatient · +8 other terms	17	$177	$176	$136	78%	—	$20 – $760
23	First Health fee schedule · outpatient · +11 other terms	16	$225	$340	$316	93%	—	$225 – $1.6k
24	MultiPlan fee schedule · outpatient · +16 other terms	16	$503	$539	$233	43%	—	$292 – $1.8k
25	Medical Mutual facility · fee schedule · outpatient · +7 other terms	15	$206	$261	$162	62%	—	$111 – $812

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