Phone-based patient management by a non-physician clinician

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

Nonphysician Telephone Assessment 21-30 Min

Payers reporting CPT 98968

Payer pricing summary

Low

$30

Average

$80

Median

$60

High

$315

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	440	$35	$61	$91	151%	—	$1 – $791
2	Aetna fee schedule · outpatient · +25 other terms	390	$34	$102	$572	560%	—	$15 – $8.4k
3	Humana fee schedule · outpatient · +25 other terms	319	$33	$68	$433	636%	—	$1 – $8.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	297	$52	$85	$64	76%	—	$0 – $403
5	WellCare fee schedule · outpatient · +17 other terms	195	$35	$33	$6	18%	—	$9 – $44
6	Devoted fee schedule · outpatient · +13 other terms	155	$35	$35	$17	48%	—	$30 – $319
7	Cigna fee schedule · outpatient · +26 other terms	134	$35	$42	$14	33%	—	$21 – $138
8	Molina fee schedule · outpatient · +22 other terms	126	$45	$47	$23	50%	—	$3 – $161
9	Cigna Healthspring fee schedule · outpatient · +6 other terms	121	$36	$36	$1	3%	—	$34 – $39
10	Anthem fee schedule · outpatient · +17 other terms	108	$45	$80	$74	92%	—	$12 – $384
11	Kaiser fee schedule · outpatient · +11 other terms	80	$36	$73	$66	91%	—	$23 – $523
12	Ambetter facility · fee schedule · outpatient · +11 other terms	59	$61	$61	$19	31%	—	$33 – $103
13	Caresource fee schedule · outpatient · +7 other terms	54	$29	$69	$67	98%	—	$24 – $186
14	Oscar fee schedule · outpatient · +16 other terms	51	$34	$37	$18	48%	—	$1 – $83
15	Superior Healthplan fee schedule · outpatient · +3 other terms	42	$37	$37	$1	2%	—	$33 – $46
16	Optum fee schedule · outpatient · +17 other terms	35	$33	$43	$20	47%	—	$28 – $119
17	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$155	$142	$52	37%	—	$46 – $262
18	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$78	$65	$17	26%	—	$19 – $85
19	Regence professional · fee schedule · outpatient · +9 other terms	26	$32	$53	$26	48%	—	$31 – $104
20	Medicare fee schedule · outpatient · +9 other terms	25	$31	$30	$1	4%	—	$29 – $33
21	Amerihealth Caritas fee schedule · outpatient · +9 other terms	20	$42	$44	$13	28%	—	$30 – $97
22	Clover fee schedule · outpatient · +8 other terms	20	$36	$35	$1	3%	—	$33 – $37
23	Medicaid fee schedule · outpatient · +5 other terms	20	$78	$45	$41	93%	—	$1 – $146
24	MultiPlan fee schedule · outpatient · +16 other terms	19	$56	$62	$17	28%	—	$33 – $104
25	Medica facility · fee schedule · both · +20 other terms	17	$33	$35	$15	41%	—	$29 – $136

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