HCPCS M1395

Chemotherapy care management by eligible clinician

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

Patients receiving an initial chemotherapy regimen with a defined duration with the eligible clinician or group

Payer pricing summary

Low

$14

Average

$15

Median

$14

High

$16

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 5 Fee schedule 3 Per diem 0 Percent of billed charges 0 Other 5

Filter by billing class

#
1	Anthem facility · other · outpatient	2	$14	$14	$2	15%	—	$12 – $16
2	Humana facility · other · outpatient	2	$14	$14	$2	15%	—	$12 – $16
3	Molina facility · other · outpatient	2	$14	$14	$2	15%	—	$12 – $16
4	UnitedHealthcare facility · other · outpatient	2	$14	$14	$2	15%	—	$12 – $16
5	Caresource facility · other · outpatient	1	$16	$16	—	—	—	$16 – $16

← Hospitals reporting HCPCS M1395 · Snapshot 20261113T090226Z-3ce6c0b8