Lymphatic imaging of one arm or leg

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

HC LYMPHANGIOGRAPHY EXTREM ONLY UNILATERAL W/ S&I

Payers reporting CPT 75801

Payer pricing summary

Low

$264

Average

$828

Median

$717

High

$2.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +31 other terms	579	$809	$816	$604	74%	—	$1 – $18.2k
2	Aetna fee schedule · outpatient · +31 other terms	516	$751	$1.6k	$1.6k	97%	—	$1 – $10.2k
3	Cigna fee schedule · outpatient · +26 other terms	401	$881	$1.0k	$592	58%	—	$65 – $3.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	378	$886	$1.1k	$875	79%	—	$1 – $5.0k
5	Humana fee schedule · outpatient · +26 other terms	326	$628	$783	$772	99%	—	$1 – $4.4k
6	Molina fee schedule · outpatient · +25 other terms	198	$648	$533	$316	59%	—	$1 – $2.4k
7	WellCare fee schedule · outpatient · +15 other terms	143	$624	$637	$277	43%	—	$46 – $1.4k
8	Anthem fee schedule · outpatient · +23 other terms	131	$451	$339	$565	167%	—	$15 – $4.6k
9	Aetna Better Health fee schedule · outpatient · +19 other terms	70	$307	$347	$96	28%	—	$307 – $931
10	Devoted fee schedule · outpatient · +13 other terms	69	$640	$638	$35	5%	—	$583 – $701
11	Kaiser fee schedule · outpatient · +19 other terms	67	$893	$1.1k	$747	66%	—	$437 – $4.5k
12	Ambetter fee schedule · outpatient · +14 other terms	65	$1.1k	$855	$485	57%	—	$12 – $2.1k
13	Caresource fee schedule · outpatient · +14 other terms	49	$605	$556	$198	36%	—	$1 – $1.1k
14	Oscar fee schedule · outpatient · +19 other terms	47	$1.2k	$1.1k	$393	36%	—	$73 – $1.8k
15	Optum fee schedule · outpatient · +21 other terms	41	$628	$810	$425	52%	—	$125 – $2.3k
16	MultiPlan fee schedule · outpatient · +20 other terms	35	$1.0k	$741	$338	46%	—	$18 – $1.4k
17	Tricare fee schedule · outpatient · +15 other terms	35	$582	$500	$212	42%	—	$185 – $803
18	Bcbs Tx fee schedule · outpatient · +5 other terms	33	$1.9k	$2.1k	$980	47%	—	$581 – $4.6k
19	Clover fee schedule · outpatient · +10 other terms	32	$676	$662	$42	6%	—	$566 – $757
20	First Health fee schedule · outpatient · +15 other terms	30	$655	$450	$328	73%	—	$285 – $1.9k
21	Cigna Healthspring fee schedule · outpatient · +8 other terms	28	$299	$480	$158	33%	—	$299 – $649
22	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	27	$285	$349	$142	41%	—	$285 – $754
23	Medicare fee schedule · outpatient · +13 other terms	24	$628	$625	$12	2%	—	$563 – $628
24	Highmark fee schedule · outpatient · +15 other terms	22	$384	$361	$303	84%	—	$49 – $1.8k
25	Regence professional · fee schedule · outpatient · +11 other terms	22	$41	$98	$143	146%	—	$41 – $611

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