Automated eye screening with remote report

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 Instrument Based Ocular Scr Bi W/Rmt

Payers reporting CPT 99174

Payer pricing summary

Low

Average

$79

Median

$18

High

$733

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +15 other terms	202	$6	$92	$697	759%	—	$4 – $8.3k
2	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	184	$19	$60	$168	278%	—	$0 – $1.2k
3	UnitedHealthcare fee schedule · outpatient · +19 other terms	93	$7	$10	$6	63%	—	$5 – $48
4	Aetna fee schedule · outpatient · +16 other terms	90	$7	$412	$1.5k	360%	—	$5 – $8.4k
5	Anthem fee schedule · outpatient · +15 other terms	57	$7	$18	$7	39%	—	$5 – $23
6	Cigna fee schedule · outpatient · +18 other terms	43	$7	$10	$8	79%	—	$5 – $48
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$23	$21	$8	37%	—	$7 – $39
8	Kaiser fee schedule · outpatient · +8 other terms	28	$7	$11	$12	115%	—	$5 – $57
9	Molina facility · case rate · outpatient · +11 other terms	25	$54	$37	$30	80%	—	$3 – $98
10	Devoted fee schedule · outpatient · +4 other terms	21	$6	$7	$0	4%	—	$6 – $7
11	Caresource facility · case rate · outpatient · +7 other terms	20	$56	$48	$27	57%	—	$6 – $100
12	Medicare fee schedule · outpatient · +1 other terms	18	$7	$7	—	—	—	$7 – $7
13	Regence fee schedule · outpatient · +4 other terms	15	$7	$9	$3	39%	—	$5 – $19
14	WellCare case rate · outpatient · +10 other terms	14	$6	$6	$1	9%	—	$5 – $7
15	Highmark fee schedule · outpatient · +6 other terms	13	$7	$7	$2	28%	—	$6 – $18
16	Medcost percent of total billed charges · bothfrom % of charges · +3 other terms	13	$8	$8	$0	6%	—	$7 – $8
17	Optum professional · fee schedule · outpatient · +9 other terms	13	$7	$6	$1	16%	—	$4 – $7
18	Tricare fee schedule · both · +8 other terms	13	$5	$5	$0	2%	—	$5 – $5
19	Wellmark fee schedule · both · +2 other terms	13	$12	$12	$1	9%	—	$9 – $14
20	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$6	$6	$0	4%	—	$5 – $6
21	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$909	$582	$501	86%	—	$6 – $1.1k
22	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$6	$6	—	—	—	$6 – $6
23	Medica professional · fee schedule · outpatient · +7 other terms	11	$7	$7	$2	21%	—	$5 – $12
24	Medical Mutual facility · fee schedule · outpatient · +6 other terms	10	$6	$8	$2	21%	—	$6 – $10
25	Ambetter facility · fee schedule · outpatient · +6 other terms	9	$11	$11	$2	15%	—	$6 – $11

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