HCPCS G2022

Patient refused the service (billing modifier)

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

G2022 Beneficiary Ref ET3 Model Service

Payer pricing summary

Low

Average

$16

Median

$10

High

$85

Payer rate distribution

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#
1	Anthem facility · case rate · outpatient · +1 other terms	15	$10	$11	$2	23%	—	$7 – $16
2	Caresource facility · case rate · outpatient · +1 other terms	15	$10	$11	$2	23%	—	$7 – $17
3	Molina facility · case rate · outpatient · +1 other terms	15	$10	$11	$2	23%	—	$7 – $16
4	UnitedHealthcare facility · case rate · outpatient · +2 other terms	15	$10	$11	$3	24%	—	$7 – $17
5	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	14	$58	$64	$28	44%	—	$0 – $120
6	Highmark fee schedule · outpatient · +5 other terms	12	$40	$40	$1	2%	—	$37 – $41
7	Optum facility · case rate · outpatient	11	$9	$10	$2	22%	—	$8 – $15
8	Aetna facility · fee schedule · outpatient · +3 other terms	4	$139	$127	$30	23%	—	$54 – $140
9	Cigna percent of total billed charges · bothfrom % of charges	2	$0	$0	—	—	—	$0 – $0
10	First Health percent of total billed charges · bothfrom % of charges	2	$0	$0	—	—	—	$0 – $0
11	Humana facility · other · outpatient	2	$14	$14	$2	15%	—	$12 – $16
12	MultiPlan percent of total billed charges · bothfrom % of charges	2	$0	$0	—	—	—	$0 – $0
13	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
14	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0