Vessel mapping for hemodialysis access

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

Fee Schedule

Payers reporting HCPCS G0365

Payer pricing summary

Low

$85

Average

$542

Median

$437

High

$1.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	38	$785	$979	$462	47%	—	$141 – $2.0k
2	Humana fee schedule · outpatient · +11 other terms	37	$1.3k	$1.6k	$1.3k	79%	—	$181 – $8.3k
3	Aetna facility · fee schedule · outpatient · +16 other terms	15	$957	$496	$425	86%	—	$6 – $957
4	Wellmark fee schedule · both · +3 other terms	13	$236	$235	$153	65%	—	$21 – $403
5	Cigna per diem · outpatient · +13 other terms	12	$261	$675	$283	42%	—	$261 – $896
6	Anthem facility · fee schedule · outpatient · +10 other terms	11	$301	$1.5k	$2.6k	169%	—	$6 – $12.2k
7	UnitedHealthcare fee schedule · outpatient · +15 other terms	11	$284	$457	$623	136%	—	$87 – $3.0k
8	Devoted facility · fee schedule · outpatient	8	$83	$85	$83	97%	—	$9 – $260
9	Kaiser facility · fee schedule · outpatient · +7 other terms	8	$3.1k	$2.7k	$811	30%	—	$599 – $3.1k
10	Medica fee schedule · outpatient · +1 other terms	8	$324	$299	$207	69%	—	$74 – $694
11	MultiPlan fee schedule · outpatient · +12 other terms	8	$530	$467	$119	25%	—	$186 – $530
12	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$255	$258	$86	33%	—	$132 – $320
13	Oscar facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	6	$176	$321	$333	104%	—	$154 – $1.1k
14	Phcs fee schedule · inpatient · +5 other terms	6	$443	$443	—	—	—	$443 – $443
15	Ambetter case rate · outpatient · +4 other terms	5	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
16	Clover case rate · outpatient	5	$788	$788	—	—	—	$788 – $788
17	Molina fee schedule · outpatient · +7 other terms	5	$715	$669	$560	84%	—	$141 – $1.9k
18	WellCare case rate · outpatient	5	$826	$826	—	—	—	$826 – $826
19	Medcost professional · fee schedule · inpatient · +3 other terms	3	$233	$233	—	—	—	$233 – $233
20	Tricare facility · fee schedule · outpatient · +3 other terms	3	$58	$618	$978	158%	—	$6 – $2.3k
21	Amerihealth Caritas case rate · outpatient · +2 other terms	2	$116	$116	—	—	—	$116 – $116
22	Carefirst case rate · outpatient · +1 other terms	2	$968	$968	—	—	—	$968 – $968
23	Highmark facility · percent of total billed charges · outpatientfrom % of charges	2	$324	$328	$81	25%	—	$266 – $519
24	Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	2	$211	$211	$206	97%	—	$17 – $520
25	Aetna Better Health other · outpatient · +2 other terms	1	$204	$204	—	—	—	$204 – $204

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