Home blood glucose monitor with integrated lancing and testing cartridge

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

Glucose monitor w cartridge

Payers reporting HCPCS E2104

Payer pricing summary

Low

$17

Average

$58

Median

$54

High

$124

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +5 other terms	277	$55	$59	$34	58%	—	$3 – $369
2	UnitedHealthcare fee schedule · outpatient · +8 other terms	267	$55	$46	$20	43%	—	$3 – $181
3	Humana fee schedule · outpatient · +4 other terms	239	$54	$54	$15	27%	—	$6 – $218
4	WellCare fee schedule · outpatient · +2 other terms	189	$56	$58	$9	16%	—	$53 – $106
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	187	$56	$68	$33	48%	—	$0 – $328
6	Devoted fee schedule · outpatient · +1 other terms	144	$55	$55	$1	2%	—	$55 – $58
7	Molina fee schedule · outpatient · +3 other terms	123	$80	$72	$31	43%	—	$6 – $143
8	Cigna Healthspring fee schedule · outpatient	104	$56	$55	$2	3%	—	$55 – $59
9	Cigna fee schedule · outpatient · +2 other terms	71	$56	$53	$28	54%	—	$6 – $165
10	Superior Healthplan fee schedule · outpatient	39	$57	$57	—	—	—	$57 – $57
11	Oscar fee schedule · outpatient · +1 other terms	35	$57	$62	$13	21%	—	$53 – $93
12	Clover fee schedule · outpatient · +1 other terms	32	$55	$55	$2	3%	—	$53 – $57
13	Kaiser fee schedule · outpatient · +2 other terms	32	$91	$110	$77	70%	—	$55 – $411
14	Anthem fee schedule · outpatient · +5 other terms	31	$55	$99	$105	106%	—	$9 – $409
15	Bcbs Tx fee schedule · outpatient	31	$57	$59	$18	30%	—	$44 – $219
16	Caresource fee schedule · outpatient · +3 other terms	23	$55	$63	$13	21%	—	$55 – $84
17	Optum fee schedule · outpatient · +2 other terms	23	$55	$79	$31	39%	—	$53 – $136
18	Ambetter fee schedule · outpatient · +2 other terms	21	$99	$95	$13	14%	—	$74 – $110
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$65	$64	$3	5%	—	$56 – $65
20	Wellmark fee schedule · both	13	$29	$29	$24	82%	—	$4 – $53
21	Bcbs Nj fee schedule · outpatient	12	$53	$115	$78	68%	—	$53 – $236
22	Highmark fee schedule · outpatient · +3 other terms	10	$31	$32	$27	83%	—	$3 – $128
23	Sanford Health Plan fee schedule · outpatient · +1 other terms	10	$53	$55	$4	8%	—	$53 – $67
24	Bcbs Mn fee schedule · outpatient · +3 other terms	9	$55	$54	$1	1%	—	$53 – $55
25	Medica fee schedule · both · +4 other terms	9	$42	$42	$23	55%	—	$6 – $58

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