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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

facility

Payers reporting HCPCS Q0169

Payer pricing summary

Low

Average

$216

Median

$15

High

$2.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna fee schedule · outpatient · +21 other terms	237	$0	$3	$11	401%	22–220	$0 – $265
2	Superior Healthplan other · outpatient · +3 other terms	1	$1	$1	—	—	5–50	$1 – $1
3	Kaiser fee schedule · both · +18 other terms	44	$1	$91	$513	563%	4–40	$1 – $3.0k
4	UnitedHealthcare fee schedule · outpatient · +25 other terms	413	$0	$404	$3.4k	849%	3–30	$0 – $59.6k
5	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	198	$0	$1	$2	301%	2–20	$0 – $38
6	Bcbs Wy other · both · +1 other terms	1	$6	$6	—	—	1–10	$6 – $6
7	Aetna fee schedule · outpatient · +24 other terms	161	$0	$17	$87	513%	—	$0 – $916
8	Humana fee schedule · outpatient · +21 other terms	100	$0	$4	$11	278%	—	$0 – $200
9	Anthem fee schedule · outpatient · +20 other terms	62	$0	$1	$3	316%	—	$0 – $32
10	MultiPlan fee schedule · outpatient · +16 other terms	36	$7	$41	$147	360%	—	$0 – $937
11	Regence facility · fee schedule · both · +16 other terms	31	$0	$2	$7	320%	—	$0 – $41
12	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$0	$0	$0	33%	—	$0 – $0
13	Excellus facility · fee schedule · both · +9 other terms	29	$0	$2	$6	354%	—	$0 – $41
14	Premera facility · fee schedule · both · +10 other terms	29	$0	$2	$7	339%	—	$0 – $41
15	Carefirst facility · fee schedule · both · +10 other terms	28	$0	$2	$7	346%	—	$0 – $41
16	Highmark facility · fee schedule · both · +16 other terms	28	$0	$2	$7	337%	—	$0 – $41
17	Wellmark facility · fee schedule · both · +13 other terms	28	$0	$2	$6	360%	—	$0 – $41
18	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	27	$26	$28	$14	51%	—	$4 – $89
19	Molina fee schedule · outpatient · +25 other terms	19	$2	$55	$448	822%	—	$0 – $4.7k
20	Healthcare Highways facility · percent of total billed charges · bothfrom % of charges · +1 other terms	17	$2	$16	$36	217%	—	$0 – $125
21	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	16	$40	$49	$20	41%	—	$27 – $120
22	Caresource facility · case rate · outpatient · +14 other terms	15	$9	$10	$2	23%	—	$6 – $15
23	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$0	$0	$0	127%	—	$0 – $1
24	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$0	$0	$0	28%	—	$0 – $0
25	Phcs fee schedule · inpatient · +9 other terms	12	$7	$6	$10	169%	—	$0 – $55

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