Unlisted fluoroscopy procedure

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 MESOGONADAL SHUNT VENOGRAPHY

Payers reporting CPT 76496

Payer pricing summary

Low

$48

Average

$1.1k

Median

$339

High

$9.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +32 other terms	591	$131	$150	$184	123%	1–10	$1 – $4.2k
2	Medica fee schedule · outpatient · +18 other terms	24	$93	$295	$634	215%	1–10	$54 – $2.7k
3	Aetna fee schedule · outpatient · +33 other terms	525	$112	$294	$398	135%	—	$1 – $8.4k
4	Cigna fee schedule · outpatient · +28 other terms	415	$194	$192	$92	48%	—	$29 – $975
5	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	317	$162	$192	$116	60%	—	$1 – $697
6	Humana fee schedule · outpatient · +23 other terms	308	$88	$91	$124	136%	—	$1 – $3.0k
7	Molina fee schedule · outpatient · +25 other terms	193	$96	$107	$45	42%	—	$1 – $539
8	WellCare fee schedule · outpatient · +15 other terms	124	$90	$105	$37	35%	—	$80 – $322
9	Anthem fee schedule · outpatient · +23 other terms	103	$88	$86	$102	118%	—	$0 – $637
10	Kaiser fee schedule · outpatient · +20 other terms	79	$145	$169	$121	72%	—	$78 – $936
11	Aetna Better Health fee schedule · outpatient · +15 other terms	72	$87	$79	$16	20%	—	$49 – $109
12	Ambetter facility · fee schedule · outpatient · +15 other terms	68	$156	$214	$486	228%	—	$86 – $7.0k
13	Devoted fee schedule · outpatient · +10 other terms	63	$88	$89	$5	5%	—	$79 – $97
14	Oscar facility · fee schedule · outpatient · +18 other terms	48	$125	$148	$162	110%	—	$81 – $1.2k
15	Optum fee schedule · outpatient · +19 other terms	45	$87	$116	$98	84%	—	$79 – $833
16	MultiPlan fee schedule · outpatient · +19 other terms	41	$269	$421	$447	106%	—	$1 – $1.5k
17	Tricare fee schedule · outpatient · +14 other terms	40	$83	$78	$16	20%	—	$35 – $111
18	First Health fee schedule · outpatient · +14 other terms	38	$91	$128	$140	110%	—	$81 – $1.2k
19	Clover fee schedule · outpatient · +8 other terms	32	$96	$93	$7	7%	—	$79 – $105
20	Cigna Healthspring fee schedule · outpatient · +8 other terms	30	$91	$92	$14	15%	—	$87 – $172
21	Caresource fee schedule · outpatient · +14 other terms	29	$90	$92	$31	34%	—	$1 – $149
22	Medicare fee schedule · outpatient · +10 other terms	28	$87	$88	$3	4%	—	$85 – $97
23	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$110	$110	$22	20%	—	$83 – $144
24	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	25	$89	$89	$4	4%	—	$87 – $109
25	Highmark facility · fee schedule · outpatient · +13 other terms	24	$180	$159	$86	54%	—	$30 – $299

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