Facility hearing aid amplification verification

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

Behavioral verification of amplification for hearing aids

Payers reporting CPT 92638

Payer pricing summary

Low

$34

Average

$611

Median

$142

High

$12.5k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	28	$670	$590	$190	32%	—	$366 – $1.1k
2	Molina facility · case rate · outpatient · +9 other terms	22	$34	$33	$11	34%	—	$20 – $61
3	UnitedHealthcare fee schedule · outpatient · +16 other terms	20	$186	$108	$83	77%	—	$1 – $186
4	First Health professional · percent of total billed charges · outpatientfrom % of charges · +6 other terms	15	$161	$140	$25	18%	—	$110 – $161
5	Medcost professional · percent of total billed charges · outpatientfrom % of charges	15	$161	$141	$24	17%	—	$109 – $161
6	Medica professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	15	$156	$131	$30	23%	—	$26 – $169
7	Medical Mutual professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	15	$161	$132	$25	19%	—	$109 – $161
8	Anthem facility · case rate · outpatient · +11 other terms	14	$37	$41	$9	21%	—	$34 – $61
9	Caresource facility · case rate · outpatient · +5 other terms	14	$38	$41	$8	21%	—	$33 – $63
10	Healthpartners professional · percent of total billed charges · outpatientfrom % of charges	14	$159	$146	$22	15%	—	$108 – $161
11	Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges	14	$161	$143	$24	17%	—	$110 – $161
12	Optum facility · case rate · outpatient · +4 other terms	13	$33	$35	$10	29%	—	$19 – $56
13	Ucare professional · percent of total billed charges · outpatientfrom % of charges	13	$149	$143	$22	15%	—	$102 – $169
14	Aetna Better Health facility · case rate · outpatient · +3 other terms	6	$24	$24	—	—	—	$24 – $24
15	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	6	$21	$22	$4	18%	—	$20 – $30
16	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	6	$22	$22	—	—	—	$22 – $22
17	Humana fee schedule · outpatient · +10 other terms	6	$47	$49	$6	11%	—	$46 – $63
18	Aetna fee schedule · both · +11 other terms	5	$50	$50	—	—	—	$50 – $50
19	Carefirst other · both · +2 other terms	5	$346	$346	$9	3%	—	$337 – $355
20	Cigna other · both · +11 other terms	5	$354	$354	$58	16%	—	$273 – $395
21	Kaiser fee schedule · both · +6 other terms	5	$52	$52	—	—	—	$52 – $52
22	Highmark professional · fee schedule · both · +2 other terms	3	$100	$100	—	—	—	$100 – $100
23	Medicaid fee schedule · outpatient · +4 other terms	3	$1	$1	—	—	—	$1 – $1
24	Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms	3	$122	$122	—	—	—	$122 – $122
25	Medicare percent of total billed charges · bothfrom % of charges	2	$85	$85	—	—	—	$85 – $85

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