Dialysis services for kidney failure, partial month, ages 12-19

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

KINRIX INTRAMUSCULAR SUSPENSION

Payers reporting CPT 90969

Payer pricing summary

Low

Average

$147

Median

$67

High

$813

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +23 other terms	187	$16	$151	$739	489%	—	$10 – $8.3k
2	Aetna fee schedule · outpatient · +21 other terms	88	$16	$467	$1.5k	318%	—	$11 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +22 other terms	88	$16	$151	$465	307%	—	$3 – $2.3k
4	Anthem fee schedule · outpatient · +14 other terms	66	$18	$73	$163	223%	—	$14 – $1.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	53	$28	$48	$40	83%	—	$0 – $292
6	Cigna fee schedule · outpatient · +17 other terms	42	$16	$23	$9	38%	—	$15 – $49
7	Molina facility · case rate · outpatient · +13 other terms	39	$360	$394	$305	77%	—	$9 – $1.3k
8	WellCare fee schedule · both · +8 other terms	35	$16	$37	$69	186%	—	$12 – $274
9	Bcbs Tx per diem · outpatient · +1 other terms	30	$502	$493	$92	19%	—	$314 – $663
10	Kaiser fee schedule · outpatient · +10 other terms	26	$16	$19	$7	36%	—	$15 – $36
11	Devoted fee schedule · outpatient · +5 other terms	21	$16	$16	$0	1%	—	$16 – $16
12	Regence professional · fee schedule · outpatient · +3 other terms	21	$16	$18	$4	25%	—	$16 – $42
13	Caresource facility · case rate · outpatient · +9 other terms	20	$326	$272	$171	63%	—	$15 – $584
14	Medicare fee schedule · outpatient · +5 other terms	18	$16	$16	$0	2%	—	$15 – $16
15	Ambetter fee schedule · outpatient · +6 other terms	14	$54	$45	$12	26%	—	$21 – $54
16	Highmark fee schedule · outpatient · +7 other terms	14	$22	$34	$80	235%	—	$16 – $797
17	Optum facility · case rate · outpatient · +6 other terms	14	$322	$334	$159	48%	—	$16 – $566
18	MultiPlan fee schedule · both · +12 other terms	13	$30	$28	$11	39%	—	$12 – $50
19	Wellmark fee schedule · both · +4 other terms	13	$28	$28	$8	27%	—	$16 – $36
20	Aetna Better Health fee schedule · outpatient · +7 other terms	12	$17	$16	$1	5%	—	$16 – $17
21	Amerihealth Caritas fee schedule · both · +4 other terms	12	$12	$12	—	—	—	$12 – $12
22	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$448	$528	$288	55%	—	$196 – $1.6k
23	Cigna Healthspring fee schedule · both · +2 other terms	12	$16	$16	$0	1%	—	$16 – $16
24	Medica fee schedule · outpatient · +6 other terms	12	$57	$54	$19	35%	—	$11 – $75
25	Bcbs Nc fee schedule · both · +2 other terms	11	$38	$37	$6	15%	—	$16 – $38

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