Glaucoma screening for high-risk patients

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

Glaucoma scrn hgh risk direc

Payers reporting HCPCS G0117

Payer pricing summary

Low

$19

Average

$72

Median

$60

High

$217

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +16 other terms	318	$31	$43	$45	104%	—	$16 – $665
2	UnitedHealthcare fee schedule · outpatient · +18 other terms	250	$28	$44	$42	96%	—	$14 – $720
3	Humana fee schedule · outpatient · +16 other terms	245	$31	$98	$145	148%	—	$22 – $512
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	239	$92	$145	$101	69%	—	$1 – $410
5	Cigna fee schedule · outpatient · +15 other terms	124	$31	$43	$26	62%	—	$23 – $150
6	WellCare fee schedule · outpatient · +8 other terms	112	$28	$32	$10	33%	—	$23 – $65
7	Molina fee schedule · outpatient · +12 other terms	95	$32	$40	$22	56%	—	$21 – $130
8	Anthem fee schedule · outpatient · +11 other terms	72	$84	$197	$189	96%	—	$23 – $784
9	Devoted fee schedule · outpatient · +5 other terms	66	$27	$32	$11	36%	—	$24 – $64
10	Ambetter facility · fee schedule · outpatient · +8 other terms	62	$51	$52	$11	21%	—	$23 – $88
11	Kaiser fee schedule · outpatient · +7 other terms	58	$62	$59	$32	55%	—	$24 – $196
12	Optum fee schedule · outpatient · +6 other terms	33	$57	$54	$29	54%	—	$24 – $138
13	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$193	$183	$95	52%	—	$23 – $383
14	Oscar fee schedule · outpatient · +6 other terms	30	$50	$53	$33	63%	—	$1 – $109
15	Caresource facility · fee schedule · outpatient · +7 other terms	27	$45	$43	$11	26%	—	$23 – $58
16	Clover fee schedule · outpatient · +4 other terms	26	$27	$28	$2	6%	—	$24 – $33
17	Regence facility · fee schedule · outpatient · +5 other terms	21	$30	$42	$24	57%	—	$23 – $99
18	Medicare fee schedule · outpatient · +4 other terms	19	$62	$58	$8	13%	—	$24 – $64
19	Highmark fee schedule · outpatient · +5 other terms	16	$45	$45	$22	48%	—	$11 – $194
20	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$27	$34	$22	64%	—	$15 – $109
21	MultiPlan fee schedule · outpatient · +10 other terms	15	$48	$47	$5	10%	—	$23 – $48
22	Ucare case rate · outpatient · +6 other terms	15	$26	$25	$0	2%	—	$25 – $26
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$194	$147	$125	85%	—	$13 – $314
24	Wellmark fee schedule · both · +2 other terms	13	$111	$110	$32	29%	—	$58 – $143
25	Aetna Better Health fee schedule · outpatient · +6 other terms	12	$62	$46	$19	42%	—	$23 – $62

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