Allergy immunotherapy antigen preparation and supervision

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

Profes Svc,Immunother,Single/Mult Ags

Payers reporting CPT 95165

Payer pricing summary

Low

Average

$60

Median

$46

High

$327

Payer rate distribution

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#
1	Bcbs Mt percent of total billed charges · outpatientfrom % of charges	1	$26	$26	$1	5%	8–80	$25 – $29
2	Aetna fee schedule · outpatient · +30 other terms	388	$48	$134	$680	508%	—	$2 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +33 other terms	321	$47	$64	$84	130%	—	$1 – $1.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	317	$71	$90	$66	74%	—	$1 – $403
5	Humana fee schedule · outpatient · +26 other terms	290	$46	$91	$529	583%	—	$2 – $8.3k
6	Cigna fee schedule · outpatient · +23 other terms	170	$47	$55	$49	88%	—	$3 – $242
7	Molina fee schedule · outpatient · +25 other terms	133	$47	$43	$30	70%	—	$2 – $127
8	WellCare fee schedule · outpatient · +16 other terms	120	$46	$48	$23	47%	—	$3 – $108
9	Anthem fee schedule · outpatient · +22 other terms	95	$43	$43	$68	159%	—	$2 – $343
10	Devoted fee schedule · outpatient · +10 other terms	67	$47	$43	$14	33%	—	$3 – $52
11	Kaiser fee schedule · outpatient · +17 other terms	66	$68	$80	$83	104%	—	$3 – $523
12	Ambetter fee schedule · outpatient · +17 other terms	55	$88	$70	$40	57%	—	$3 – $153
13	Optum fee schedule · outpatient · +21 other terms	44	$42	$42	$48	115%	—	$3 – $266
14	Oscar fee schedule · outpatient · +18 other terms	42	$78	$57	$43	75%	—	$1 – $134
15	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$134	$127	$57	45%	—	$43 – $256
16	Caresource facility · fee schedule · outpatient · +11 other terms	30	$72	$396	$1.5k	379%	—	$3 – $7.9k
17	MultiPlan fee schedule · outpatient · +19 other terms	29	$43	$50	$31	62%	—	$3 – $76
18	Clover fee schedule · outpatient · +10 other terms	26	$50	$49	$3	7%	—	$42 – $54
19	Regence professional · fee schedule · outpatient · +11 other terms	26	$9	$16	$14	84%	—	$3 – $47
20	Tricare fee schedule · outpatient · +16 other terms	24	$36	$36	$12	33%	—	$3 – $56
21	Medicare fee schedule · outpatient · +12 other terms	22	$3	$13	$18	145%	—	$3 – $52
22	Aetna Better Health facility · fee schedule · outpatient · +16 other terms	20	$3	$17	$17	103%	—	$3 – $74
23	Highmark facility · fee schedule · outpatient · +11 other terms	18	$3	$30	$48	163%	—	$3 – $226
24	Cigna Healthspring fee schedule · outpatient · +7 other terms	17	$46	$27	$21	78%	—	$3 – $48
25	First Health fee schedule · outpatient · +15 other terms	17	$49	$45	$30	67%	—	$3 – $108

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