Non-eye fluorescent dye vessel imaging

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

ICG LYMPHANGIOGRAPHY

Payers reporting HCPCS C9733

Payer pricing summary

Low

$97

Average

$662

Median

$639

High

$1.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	497	$518	$575	$395	69%	—	$1 – $10.5k
2	Aetna fee schedule · outpatient · +20 other terms	362	$375	$546	$433	79%	—	$1 – $2.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	272	$606	$857	$514	60%	—	$1 – $2.8k
4	Humana fee schedule · outpatient · +19 other terms	224	$358	$408	$329	81%	—	$1 – $2.8k
5	Cigna fee schedule · outpatient · +19 other terms	151	$372	$682	$693	102%	—	$100 – $3.0k
6	Molina fee schedule · outpatient · +15 other terms	111	$399	$461	$183	40%	—	$1 – $1.3k
7	WellCare fee schedule · outpatient · +11 other terms	108	$361	$421	$136	32%	—	$321 – $837
8	Anthem fee schedule · outpatient · +18 other terms	74	$359	$723	$629	87%	—	$155 – $2.6k
9	Devoted fee schedule · outpatient · +3 other terms	64	$359	$359	$22	6%	—	$324 – $396
10	Kaiser fee schedule · outpatient · +6 other terms	60	$506	$691	$466	67%	—	$313 – $2.9k
11	Ambetter facility · fee schedule · outpatient · +6 other terms	49	$594	$619	$125	20%	—	$363 – $860
12	Oscar fee schedule · outpatient · +6 other terms	39	$727	$677	$146	22%	—	$411 – $996
13	Optum fee schedule · outpatient · +7 other terms	38	$349	$955	$950	100%	—	$317 – $3.5k
14	MultiPlan fee schedule · outpatient · +9 other terms	30	$617	$954	$880	92%	—	$335 – $3.2k
15	Bcbs Tx fee schedule · outpatient · +5 other terms	28	$1.3k	$1.3k	$590	44%	—	$335 – $2.8k
16	Caresource facility · fee schedule · outpatient · +8 other terms	26	$537	$526	$134	25%	—	$340 – $711
17	Clover fee schedule · outpatient · +3 other terms	26	$390	$376	$29	8%	—	$315 – $421
18	First Health fee schedule · outpatient · +8 other terms	22	$364	$1.0k	$1.1k	101%	—	$265 – $2.8k
19	Medicare fee schedule · outpatient · +8 other terms	19	$349	$350	$2	1%	—	$349 – $359
20	Highmark fee schedule · outpatient · +7 other terms	16	$477	$482	$180	37%	—	$160 – $1.3k
21	Regence fee schedule · outpatient · +4 other terms	16	$682	$865	$377	44%	—	$392 – $2.0k
22	Ucare case rate · outpatient · +8 other terms	15	$375	$370	$7	2%	—	$358 – $375
23	Medica fee schedule · outpatient · +11 other terms	14	$377	$386	$23	6%	—	$368 – $466
24	Medical Mutual facility · fee schedule · outpatient · +3 other terms	14	$332	$420	$269	64%	—	$180 – $1.3k
25	Tricare fee schedule · outpatient · +5 other terms	14	$328	$359	$47	13%	—	$317 – $447

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