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Payers and negotiated rates for HCPCS E2203-NU | medprice.ai

HCPCS E2203-NU

Frame depth less than 22 in

Payer pricing summary

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Low

$394

Average

$567

Median

$507

High

$994

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 10 Per diem 0 Percent of billed charges 0 Other 0

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	7	$512	$553	$232	42%	—	$388 – $1.3k
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$526	$526	—	—	—	$526 – $526
3	Humana facility · fee schedule · outpatient	5	$484	$487	$6	1%	—	$484 – $500
4	Aetna facility · fee schedule · outpatient	4	$942	$781	$280	36%	—	$295 – $942
5	UnitedHealthcare facility · fee schedule · outpatient	4	$407	$407	—	—	—	$407 – $407
6	WellCare facility · fee schedule · outpatient	4	$526	$526	—	—	—	$526 – $526
7	Cigna facility · fee schedule · outpatient	3	$1.0k	$994	$195	20%	—	$766 – $1.3k
8	Regence facility · fee schedule · outpatient	2	$637	$637	—	—	—	$637 – $637
9	Caresource facility · fee schedule · outpatient	1	$460	$460	—	—	—	$460 – $460
10	Molina facility · fee schedule · outpatient	1	$455	$455	—	—	—	$455 – $455

← Hospitals reporting HCPCS E2203-NU · Snapshot 20261113T090226Z-3ce6c0b8