HCPCS C9367
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
PR ENDOFORM DERMAL TEMPLATE
Low
$0
Average
$12
Median
$4
High
$30
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms | 4 | $23 | $23 | $11 | 48% | — | $12 – $35 |
| 2 | Aetna fee schedule · outpatient · +1 other terms | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Anthem professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Bcbs Ca facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 9% | — | $0 – $0 |
| 5 | UnitedHealthcare facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Hospitals reporting HCPCS C9367 · Snapshot 20261113T090226Z-3ce6c0b8