Multifocal retina electrical response 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

MULTI FOCAL ERG

Payers reporting CPT 92274

Payer pricing summary

Low

$60

Average

$202

Median

$158

High

$678

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +26 other terms	366	$149	$257	$695	271%	—	$1 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	310	$183	$229	$152	67%	—	$1 – $1.2k
3	UnitedHealthcare fee schedule · outpatient · +28 other terms	293	$151	$165	$212	129%	—	$1 – $4.6k
4	Humana fee schedule · outpatient · +23 other terms	248	$152	$147	$48	33%	—	$1 – $372
5	Cigna fee schedule · outpatient · +20 other terms	141	$148	$177	$127	71%	—	$47 – $706
6	WellCare fee schedule · outpatient · +13 other terms	120	$152	$163	$66	40%	—	$21 – $367
7	Molina fee schedule · outpatient · +21 other terms	118	$157	$139	$73	53%	—	$1 – $298
8	Anthem fee schedule · outpatient · +17 other terms	93	$200	$142	$162	114%	—	$31 – $942
9	Ambetter facility · fee schedule · outpatient · +10 other terms	77	$259	$349	$728	209%	—	$124 – $7.1k
10	Devoted fee schedule · outpatient · +9 other terms	66	$144	$134	$33	24%	—	$57 – $173
11	Kaiser fee schedule · outpatient · +13 other terms	61	$186	$236	$181	77%	—	$49 – $1.1k
12	Oscar fee schedule · outpatient · +12 other terms	42	$225	$168	$111	66%	—	$1 – $367
13	Optum fee schedule · outpatient · +14 other terms	38	$124	$153	$101	66%	—	$57 – $475
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$218	$205	$76	37%	—	$68 – $392
15	Caresource facility · fee schedule · outpatient · +9 other terms	31	$198	$179	$70	39%	—	$29 – $291
16	Clover fee schedule · outpatient · +7 other terms	26	$171	$157	$22	14%	—	$116 – $184
17	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$163	$163	$33	20%	—	$123 – $214
18	Regence facility · fee schedule · outpatient · +5 other terms	21	$137	$214	$146	68%	—	$130 – $577
19	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	21	$136	$133	$3	2%	—	$129 – $136
20	Aetna Better Health fee schedule · outpatient · +17 other terms	19	$70	$85	$31	37%	—	$63 – $147
21	Medicare fee schedule · outpatient · +10 other terms	19	$57	$57	$18	32%	—	$49 – $142
22	Highmark fee schedule · outpatient · +7 other terms	17	$107	$107	$64	60%	—	$13 – $382
23	Medical Mutual facility · fee schedule · outpatient · +5 other terms	15	$123	$154	$97	63%	—	$66 – $484
24	MultiPlan fee schedule · outpatient · +15 other terms	15	$250	$247	$19	8%	—	$147 – $250
25	Amerihealth Caritas fee schedule · both · +8 other terms	14	$52	$62	$33	54%	—	$29 – $136

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