CPT 0367T
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
Fee Schedule
Low
$13
Average
$55
Median
$62
High
$105
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +1 other terms | 17 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Wellmark fee schedule · both · +1 other terms | 13 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Highmark fee schedule · outpatient · +2 other terms | 10 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Bcbs Mn fee schedule · outpatient | 4 | $43 | $42 | $28 | 67% | — | $13 – $101 |
| 5 | Molina facility · case rate · outpatient · +1 other terms | 4 | $54 | $64 | $25 | 39% | — | $44 – $105 |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient | 3 | $68 | $90 | $31 | 34% | — | $68 – $134 |
| 7 | Humana facility · case rate · outpatient | 3 | $87 | $90 | $4 | 5% | — | $87 – $96 |
| 8 | Aetna fee schedule · outpatient · +2 other terms | 2 | $138 | $138 | — | — | — | $138 – $138 |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $67 | $67 | $34 | 51% | — | $33 – $100 |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
← Hospitals reporting CPT 0367T · Snapshot 20261113T090226Z-3ce6c0b8