Prism lens, per lens

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

Prism lens/es

Payers reporting HCPCS V2715

Payer pricing summary

Low

Average

$21

Median

$17

High

$56

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	338	$15	$15	$4	26%	—	$7 – $58
2	Aetna fee schedule · outpatient · +14 other terms	322	$16	$19	$13	68%	—	$6 – $173
3	Humana fee schedule · outpatient · +9 other terms	316	$15	$24	$26	108%	—	$11 – $124
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	202	$16	$21	$17	79%	—	$0 – $94
5	WellCare fee schedule · outpatient · +4 other terms	202	$17	$17	$4	23%	—	$14 – $37
6	Devoted fee schedule · outpatient · +2 other terms	164	$14	$16	$1	6%	—	$14 – $19
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$15	$16	$1	5%	—	$14 – $20
8	Molina fee schedule · outpatient · +8 other terms	110	$20	$22	$8	38%	—	$12 – $42
9	Cigna fee schedule · outpatient · +7 other terms	95	$15	$18	$6	36%	—	$14 – $52
10	Anthem fee schedule · outpatient · +7 other terms	74	$14	$16	$3	22%	—	$14 – $35
11	Kaiser fee schedule · outpatient · +4 other terms	61	$15	$27	$22	81%	—	$14 – $128
12	Superior Healthplan fee schedule · outpatient	40	$17	$17	$0	0%	—	$16 – $17
13	Clover fee schedule · outpatient · +2 other terms	37	$19	$17	$2	10%	—	$14 – $19
14	Ambetter facility · fee schedule · outpatient · +5 other terms	32	$32	$30	$5	18%	—	$14 – $36
15	Oscar fee schedule · outpatient · +5 other terms	32	$16	$18	$6	31%	—	$15 – $32
16	Optum fee schedule · outpatient · +3 other terms	26	$14	$17	$8	46%	—	$14 – $40
17	Caresource facility · case rate · outpatient · +4 other terms	20	$11	$16	$10	60%	—	$7 – $38
18	Regence facility · fee schedule · outpatient · +1 other terms	19	$15	$15	$1	5%	—	$14 – $17
19	Bcbs Tx fee schedule · outpatient	18	$16	$16	—	—	—	$16 – $16
20	Medicare fee schedule · outpatient · +1 other terms	18	$14	$14	$0	1%	—	$14 – $14
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$17	$17	$0	2%	—	$16 – $17
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$18	$20	$5	25%	—	$10 – $28
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$16	$16	$4	23%	—	$8 – $19
24	Wellmark fee schedule · both · +2 other terms	13	$14	$15	$2	12%	—	$14 – $25
25	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$14	$14	$0	2%	—	$14 – $14

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