Phototherapy light for bilirubin treatment

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

PHOTOTHERAPY LIGHT W/ PHOTOM

Payers reporting HCPCS E0202

Payer pricing summary

Low

Average

$186

Median

$131

High

$758

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +11 other terms	247	$89	$137	$152	111%	—	$60 – $686
2	Aetna fee schedule · outpatient · +10 other terms	236	$89	$178	$447	251%	—	$28 – $5.0k
3	UnitedHealthcare fee schedule · outpatient · +16 other terms	231	$89	$80	$16	19%	—	$37 – $100
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	169	$91	$164	$379	230%	—	$0 – $3.1k
5	WellCare fee schedule · outpatient · +1 other terms	169	$92	$93	$17	18%	—	$76 – $174
6	Devoted fee schedule · outpatient · +1 other terms	151	$89	$87	$6	7%	—	$75 – $95
7	Cigna Healthspring fee schedule · outpatient	104	$85	$87	$5	5%	—	$76 – $96
8	Molina fee schedule · outpatient · +5 other terms	89	$131	$123	$48	39%	—	$68 – $234
9	Cigna fee schedule · outpatient · +8 other terms	69	$92	$143	$294	205%	—	$75 – $2.3k
10	Superior Healthplan fee schedule · outpatient	39	$94	$94	—	—	—	$94 – $94
11	Anthem fee schedule · outpatient · +7 other terms	34	$78	$81	$9	11%	—	$75 – $124
12	Clover fee schedule · outpatient	32	$88	$90	$4	4%	—	$80 – $94
13	Bcbs Tx fee schedule · outpatient	31	$82	$84	$25	29%	—	$62 – $306
14	Kaiser fee schedule · outpatient · +5 other terms	24	$80	$78	$2	3%	—	$75 – $80
15	Optum fee schedule · outpatient · +1 other terms	24	$89	$100	$46	46%	—	$75 – $223
16	Oscar fee schedule · outpatient	24	$87	$84	$4	5%	—	$80 – $87
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$91	$93	$4	4%	—	$91 – $102
18	Caresource fee schedule · outpatient · +3 other terms	15	$76	$76	—	—	—	$76 – $76
19	Medicare fee schedule · outpatient	15	$75	$77	$2	2%	—	$75 – $79
20	Wellmark fee schedule · both · +1 other terms	13	$457	$457	$374	82%	—	$64 – $833
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$718	$728	$189	26%	—	$363 – $874
22	Bcbs Nj fee schedule · outpatient	12	$88	$189	$128	68%	—	$88 – $387
23	Highmark fee schedule · outpatient · +3 other terms	10	$270	$273	$334	123%	—	$41 – $914
24	Medica fee schedule · outpatient · +7 other terms	10	$152	$154	$38	24%	—	$92 – $196
25	Medical Mutual fee schedule · outpatient	9	$160	$160	—	—	—	$160 – $160

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