Monthly supplies for use with device K1016

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fee Schedule

Payers reporting HCPCS K1017

Payer pricing summary

Low

$14

Average

$59

Median

$44

High

$131

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem facility · case rate · outpatient · +2 other terms	15	$33	$36	$8	23%	—	$23 – $56
2	Caresource facility · case rate · outpatient	15	$34	$36	$8	23%	—	$23 – $57
3	Molina facility · case rate · outpatient	15	$33	$36	$8	23%	—	$23 – $56
4	UnitedHealthcare facility · case rate · outpatient · +2 other terms	15	$34	$37	$9	23%	—	$23 – $57
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	12	$32	$37	$25	69%	—	$0 – $110
6	Optum facility · case rate · outpatient	11	$31	$34	$8	22%	—	$28 – $51
7	Humana fee schedule · outpatient · +2 other terms	7	$132	$127	$14	11%	—	$97 – $143
8	Regence facility · fee schedule · outpatient	2	$38	$38	—	—	—	$38 – $38
9	Bcbs Nv fee schedule · outpatient	1	$66	$66	$40	62%	—	$11 – $106
10	Cigna fee schedule · both · +1 other terms	1	$50	$50	$4	9%	—	$45 – $54
11	Healthpartners facility · fee schedule · outpatient	1	$131	$131	—	—	—	$131 – $131
12	MultiPlan fee schedule · both	1	$60	$60	—	—	—	$60 – $60
13	Wellmark case rate · outpatient	1	$86	$86	—	—	—	$86 – $86