Non-covered procedure for a clinical trial

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

Non-cov proc, clinical trial

Payers reporting HCPCS G0294

Payer pricing summary

Low

$14

Average

$1.2k

Median

$66

High

$37.5k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +8 other terms	344	$40	$741	$2.6k	356%	—	$0 – $19.0k
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	259	$39	$101	$414	409%	—	$14 – $4.1k
3	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	228	$78	$132	$353	267%	—	$1 – $4.1k
4	Humana fee schedule · outpatient · +7 other terms	221	$39	$336	$1.1k	322%	—	$0 – $8.3k
5	Cigna fee schedule · outpatient · +7 other terms	125	$39	$55	$34	63%	—	$34 – $193
6	WellCare fee schedule · outpatient · +3 other terms	112	$39	$216	$789	366%	—	$34 – $4.2k
7	Molina fee schedule · outpatient · +4 other terms	110	$45	$51	$16	32%	—	$27 – $87
8	Anthem fee schedule · outpatient · +6 other terms	71	$39	$80	$69	86%	—	$37 – $273
9	Devoted fee schedule · outpatient · +2 other terms	63	$39	$39	$3	7%	—	$35 – $43
10	Kaiser fee schedule · outpatient · +3 other terms	63	$62	$282	$870	309%	—	$37 – $4.2k
11	Ambetter facility · fee schedule · outpatient · +3 other terms	45	$65	$68	$14	20%	—	$38 – $95
12	Optum fee schedule · outpatient · +2 other terms	32	$37	$51	$27	52%	—	$34 – $138
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$117	$111	$50	46%	—	$37 – $225
14	Clover fee schedule · outpatient · +3 other terms	31	$43	$624	$1.4k	226%	—	$34 – $4.3k
15	Caresource fee schedule · outpatient · +6 other terms	26	$52	$693	$1.5k	210%	—	$36 – $4.2k
16	Medicare fee schedule · outpatient · +1 other terms	24	$37	$699	$1.4k	204%	—	$33 – $4.1k
17	Oscar fee schedule · outpatient · +3 other terms	24	$73	$69	$18	26%	—	$44 – $107
18	Regence facility · case rate · outpatient · +4 other terms	16	$39	$47	$24	50%	—	$36 – $125
19	Highmark fee schedule · outpatient · +2 other terms	15	$52	$52	$19	36%	—	$18 – $110
20	MultiPlan fee schedule · outpatient · +2 other terms	15	$64	$63	$5	8%	—	$37 – $64
21	Tricare fee schedule · outpatient · +2 other terms	15	$36	$16.7k	$23.6k	141%	—	$34 – $50k
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	14	$36	$45	$29	64%	—	$19 – $141
23	Bcbs Mn fee schedule · outpatient · +2 other terms	13	$41	$52	$30	57%	—	$18 – $142
24	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$0	$15	$18	118%	—	$0 – $37
25	Bcbs Nj fee schedule · outpatient	12	$44	$93	$62	67%	—	$43 – $190

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