Remote review of patient-submitted video or images

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

Remot img sub by pt, non e/m

Payers reporting HCPCS G2250

Payer pricing summary

Low

Average

$16

Median

$14

High

$48

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +16 other terms	341	$12	$13	$8	67%	—	$6 – $108
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	332	$13	$17	$27	160%	—	$5 – $186
3	Humana fee schedule · outpatient · +12 other terms	250	$12	$12	$6	51%	—	$6 – $58
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	242	$14	$24	$15	62%	—	$0 – $67
5	WellCare fee schedule · outpatient · +9 other terms	174	$13	$13	$1	11%	—	$8 – $16
6	Devoted fee schedule · outpatient · +6 other terms	152	$13	$13	$1	9%	—	$8 – $14
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	121	$13	$13	$1	4%	—	$12 – $15
8	Molina fee schedule · outpatient · +11 other terms	116	$17	$17	$8	45%	—	$6 – $40
9	Anthem fee schedule · outpatient · +9 other terms	86	$14	$33	$24	75%	—	$8 – $109
10	Cigna facility · fee schedule · outpatient · +12 other terms	83	$12	$15	$7	48%	—	$8 – $46
11	Kaiser fee schedule · outpatient · +4 other terms	67	$14	$16	$11	68%	—	$6 – $72
12	Ambetter facility · fee schedule · outpatient · +9 other terms	55	$17	$18	$5	29%	—	$10 – $28
13	Oscar fee schedule · outpatient · +6 other terms	49	$13	$12	$5	44%	—	$1 – $23
14	Superior Healthplan fee schedule · outpatient	42	$14	$14	$0	2%	—	$12 – $14
15	Caresource fee schedule · outpatient · +7 other terms	40	$8	$88	$88	101%	—	$7 – $186
16	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$39	$36	$13	37%	—	$11 – $65
17	Optum fee schedule · outpatient · +8 other terms	30	$13	$15	$8	52%	—	$8 – $33
18	Regence professional · fee schedule · outpatient · +3 other terms	21	$10	$11	$4	31%	—	$9 – $30
19	Clover fee schedule · outpatient · +4 other terms	20	$13	$13	$1	5%	—	$12 – $14
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	19	$16	$15	$2	16%	—	$8 – $17
21	Medicare fee schedule · outpatient · +5 other terms	18	$9	$9	$0	2%	—	$8 – $9
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$12	$13	$5	35%	—	$4 – $20
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$12	$17	$7	43%	—	$9 – $37
24	Highmark fee schedule · outpatient · +4 other terms	13	$10	$11	$4	36%	—	$8 – $40
25	Medica facility · fee schedule · outpatient · +4 other terms	13	$9	$9	$3	28%	—	$5 – $16

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