HCPCS Q0165
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.
Generation details were not recorded for this description.
Original text from hospital filings
Fee Schedule
Low
$0
Average
$6
Median
$2
High
$26
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 16 | $1 | $1 | $1 | 47% | — | $1 – $3 |
| 2 | Highmark facility · fee schedule · outpatient | 3 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 3 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Aetna professional · fee schedule · both · +4 other terms | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Cigna fee schedule · both · +4 other terms | 2 | $0 | $0 | $0 | 59% | — | $0 – $0 |
| 6 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Anthem fee schedule · outpatient · +2 other terms | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Healthpartners facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Humana facility · per diem · inpatient · +3 other terms | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Kaiser fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Molina facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Optum percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | $5 | 19% | — | $19 – $31 |
| 13 | Tricare percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | UnitedHealthcare facility · per diem · inpatient · +2 other terms | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | WellCare percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS Q0165 · Snapshot 20261113T090226Z-3ce6c0b8