Lifestyle modification program, fourth stage

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

Lifestyle mod 4th stage

Payers reporting HCPCS S0342

Payer pricing summary

Low

Average

$63

Median

$63

High

$139

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +4 other terms	29	$74	$70	$23	33%	—	$43 – $133
2	Aetna fee schedule · outpatient · +6 other terms	24	$61	$122	$115	95%	—	$55 – $551
3	UnitedHealthcare facility · case rate · outpatient · +5 other terms	17	$78	$80	$24	30%	—	$43 – $136
4	Anthem facility · case rate · outpatient · +6 other terms	15	$78	$86	$20	23%	—	$53 – $133
5	Caresource facility · case rate · outpatient · +1 other terms	15	$80	$86	$20	23%	—	$53 – $136
6	Optum facility · case rate · outpatient · +1 other terms	13	$71	$75	$22	30%	—	$41 – $120
7	Humana fee schedule · outpatient · +3 other terms	9	$55	$72	$19	26%	—	$55 – $93
8	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$57	$57	—	—	—	$57 – $57
9	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$47	$48	$2	3%	—	$47 – $51
10	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	6	$2	$7	$14	199%	—	$0 – $56
11	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$63	$66	$4	6%	—	$63 – $71
12	First Health professional · fee schedule · both	3	$61	$61	—	—	—	$61 – $61
13	Wellmark facility · case rate · outpatient	3	$158	$139	$44	32%	—	$64 – $175
14	Medicaid facility · case rate · outpatient	2	$43	$43	—	—	—	$43 – $43
15	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Nc facility · fee schedule · outpatient	1	$26	$26	—	—	—	$26 – $26
17	Bcbs Nv fee schedule · outpatient	1	$126	$126	$23	18%	—	$103 – $149
18	Bcbs Vt professional · fee schedule · outpatient	1	$55	$55	—	—	—	$55 – $55
19	WellCare facility · case rate · outpatient	1	$43	$43	—	—	—	$43 – $43