Destruction of extensive neurofibroma

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

DSTRJ NEUROFIBROMA XTNSV

Payers reporting CPT 0420T

Payer pricing summary

Low

$142

Average

$992

Median

$857

High

$2.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +16 other terms	422	$790	$1.5k	$2.0k	132%	—	$236 – $21.3k
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	383	$744	$1.4k	$1.5k	108%	—	$146 – $18.0k
3	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	305	$1.3k	$1.8k	$2.2k	119%	—	$0 – $21.6k
4	Humana fee schedule · outpatient · +15 other terms	267	$669	$800	$695	87%	—	$247 – $8.3k
5	Cigna case rate · outpatient · +11 other terms	213	$2.7k	$2.7k	$1.3k	49%	—	$596 – $13.6k
6	WellCare fee schedule · outpatient · +9 other terms	140	$620	$719	$263	37%	—	$319 – $1.4k
7	Oscar case rate · outpatient · +9 other terms	125	$2.3k	$2.4k	$1.0k	43%	—	$957 – $7.5k
8	Molina fee schedule · outpatient · +12 other terms	116	$847	$951	$370	39%	—	$407 – $2.0k
9	Anthem fee schedule · outpatient · +13 other terms	90	$615	$766	$1.2k	151%	—	$211 – $6.3k
10	Devoted fee schedule · outpatient · +4 other terms	68	$696	$705	$67	9%	—	$597 – $826
11	Ambetter fee schedule · outpatient · +8 other terms	64	$1.3k	$1.1k	$531	49%	—	$319 – $2.1k
12	Kaiser fee schedule · outpatient · +5 other terms	60	$1.1k	$1.4k	$814	59%	—	$612 – $4.6k
13	Optum fee schedule · outpatient · +9 other terms	51	$712	$853	$478	56%	—	$556 – $2.7k
14	Caresource fee schedule · outpatient · +4 other terms	38	$616	$553	$304	55%	—	$319 – $1.3k
15	Bcbs Tx fee schedule · outpatient · +1 other terms	32	$421	$426	$169	40%	—	$196 – $1.0k
16	Clover fee schedule · outpatient · +4 other terms	26	$683	$693	$48	7%	—	$608 – $832
17	Bcbs La fee schedule · outpatient · +1 other terms	24	$1.6k	$1.6k	$557	36%	—	$358 – $2.6k
18	Regence facility · fee schedule · outpatient · +5 other terms	21	$778	$1.0k	$501	49%	—	$567 – $2.3k
19	Tricare fee schedule · outpatient · +4 other terms	21	$671	$565	$150	27%	—	$414 – $876
20	First Health fee schedule · outpatient · +6 other terms	20	$772	$2.5k	$2.7k	109%	—	$575 – $7.2k
21	Medicare fee schedule · outpatient · +1 other terms	19	$740	$732	$36	5%	—	$565 – $740
22	Highmark fee schedule · outpatient · +4 other terms	16	$845	$829	$320	39%	—	$275 – $2.2k
23	Medical Mutual facility · fee schedule · outpatient · +4 other terms	16	$702	$868	$532	61%	—	$381 – $2.8k
24	MultiPlan fee schedule · outpatient · +8 other terms	15	$1.0k	$992	$79	8%	—	$575 – $1.0k
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$564	$666	$380	57%	—	$266 – $2.2k

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