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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 J3130

Payer pricing summary

Low

Average

$23

Median

$19

High

$49

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	24	$48	$49	$24	48%	—	$19 – $82
2	First Health professional · percent of total billed charges · bothfrom % of charges · +1 other terms	6	$12	$12	$2	14%	—	$10 – $15
3	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +3 other terms	6	$11	$12	$4	33%	—	$10 – $22
4	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$6	$6	—	—	—	$6 – $6
5	Highmark facility · fee schedule · outpatient	3	$15	$16	$1	4%	—	$15 – $17
6	Aetna fee schedule · outpatient · +9 other terms	2	$75	$75	—	—	—	$75 – $75
7	Ambetter professional · percent of total billed charges · bothfrom % of charges · +1 other terms	2	$10	$10	—	—	—	$10 – $10
8	Cigna facility · fee schedule · outpatient · +4 other terms	2	$19	$19	$10	50%	—	$10 – $29
9	Kaiser fee schedule · both · +1 other terms	2	$19	$19	—	—	—	$19 – $19
10	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$10	$10	—	—	—	$10 – $10
11	Sanford Health Plan facility · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
12	Anthem fee schedule · outpatient · +1 other terms	1	$36	$36	$25	69%	—	$7 – $68
13	Bcbs Id professional · fee schedule · outpatient	1	$14	$14	—	—	—	$14 – $14
14	Healthpartners facility · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
15	Humana fee schedule · outpatient · +3 other terms	1	$12	$12	$2	16%	—	$10 – $14
16	Molina facility · fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
17	UnitedHealthcare facility · per diem · inpatient · +3 other terms	1	$106	$106	$21	20%	—	$85 – $128