CPT 91303
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
$0
Average
$177
Median
$3
High
$4.2k
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +3 other terms | 27 | $15 | $16 | $7 | 45% | — | $6 – $36 |
| 2 | UnitedHealthcare fee schedule · both · +11 other terms | 27 | $0 | $0 | $1 | 525% | — | $0 – $8 |
| 3 | Anthem fee schedule · outpatient · +8 other terms | 22 | $0 | $1 | $6 | 584% | — | $0 – $35 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +12 other terms | 18 | $0 | $1 | $4 | 359% | — | $0 – $19 |
| 5 | Caresource facility · case rate · outpatient | 15 | $9 | $10 | $2 | 23% | — | $6 – $16 |
| 6 | Humana fee schedule · outpatient · +6 other terms | 15 | $0 | $6 | $13 | 228% | — | $0 – $36 |
| 7 | Cigna facility · fee schedule · outpatient · +8 other terms | 13 | $0 | $0 | $0 | 100% | — | $0 – $0 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 13 | $9 | $11 | $4 | 34% | — | $8 – $18 |
| 9 | Aetna fee schedule · outpatient · +12 other terms | 9 | $34 | $2.8k | $3.0k | 104% | — | $0 – $8.4k |
| 10 | Aetna Better Health facility · case rate · outpatient | 7 | $23 | $22 | $1 | 4% | — | $19 – $23 |
← Hospitals reporting CPT 91303 · Snapshot 20261113T090226Z-3ce6c0b8