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Payers and negotiated rates for HCPCS E2204-UE | medprice.ai

HCPCS E2204-UE

Frame depth 22 to 25 in

Payer pricing summary

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Low

$519

Average

$749

Median

$678

High

$1.3k

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	$686	$731	$288	39%	—	$516 – $1.6k
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$704	$704	—	—	—	$704 – $704
3	Humana facility · fee schedule · outpatient	5	$648	$652	$8	1%	—	$648 – $669
4	Aetna facility · fee schedule · outpatient	4	$1.2k	$1.0k	$363	35%	—	$395 – $1.2k
5	UnitedHealthcare facility · fee schedule · outpatient	4	$519	$519	—	—	—	$519 – $519
6	WellCare facility · fee schedule · outpatient	4	$704	$704	—	—	—	$704 – $704
7	Cigna facility · fee schedule · outpatient	3	$1.3k	$1.3k	$253	20%	—	$991 – $1.7k
8	Regence facility · fee schedule · outpatient	2	$811	$811	—	—	—	$811 – $811
9	Caresource facility · fee schedule · outpatient	1	$594	$594	—	—	—	$594 – $594
10	Molina facility · fee schedule · outpatient	1	$588	$588	—	—	—	$588 – $588

← Hospitals reporting HCPCS E2204-UE · Snapshot 20261115T194459Z-975ba28a