CPT 01390
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.
Original text from hospital filings
Anes cls px upr tib fib&/pat
Low
$1
Average
$96
Median
$62
High
$675
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +6 other terms | 23 | $38 | $1.1k | $2.3k | 205% | — | $15 – $8.4k |
| 2 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 20 | $29 | $56 | $39 | 70% | — | $4 – $216 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 18 | $76 | $87 | $47 | 54% | — | $0 – $254 |
| 4 | Medicaid fee schedule · outpatient · +1 other terms | 10 | $254 | $254 | — | — | — | $254 – $254 |
| 5 | Molina fee schedule · outpatient · +3 other terms | 10 | $17 | $32 | $19 | 61% | — | $16 – $70 |
| 6 | Humana fee schedule · outpatient · +6 other terms | 9 | $20 | $22 | $4 | 20% | — | $20 – $33 |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 9 | $79 | $82 | $36 | 44% | — | $20 – $254 |
| 8 | WellCare professional · fee schedule · both · +4 other terms | 9 | $14 | $15 | $10 | 63% | — | $0 – $42 |
| 9 | Aetna Better Health professional · fee schedule · both · +1 other terms | 8 | $10 | $11 | $9 | 81% | — | $0 – $21 |
| 10 | Anthem facility · fee schedule · outpatient · +3 other terms | 8 | $50 | $46 | $50 | 109% | — | $10 – $191 |
← Hospitals reporting CPT 01390 · Snapshot 20261113T090226Z-3ce6c0b8