Diabetes management program

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

HC DIABETES MGMT PROG, INDIV

Payers reporting HCPCS S9455

Payer pricing summary

Low

Average

$126

Median

$45

High

$731

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +12 other terms	47	$56	$82	$59	72%	—	$9 – $265
2	Molina facility · case rate · outpatient · +12 other terms	29	$38	$39	$11	27%	—	$27 – $69
3	Aetna fee schedule · outpatient · +12 other terms	24	$17	$70	$80	115%	—	$15 – $280
4	UnitedHealthcare facility · case rate · outpatient · +15 other terms	17	$40	$42	$11	27%	—	$27 – $70
5	Anthem facility · case rate · outpatient · +10 other terms	15	$40	$44	$10	23%	—	$28 – $69
6	Caresource facility · case rate · outpatient · +1 other terms	15	$41	$44	$10	23%	—	$28 – $70
7	Medcost percent of total billed charges · bothfrom % of charges · +2 other terms	14	$38	$41	$17	41%	—	$36 – $125
8	Optum facility · case rate · outpatient · +2 other terms	13	$37	$39	$10	27%	—	$26 – $62
9	Wellmark fee schedule · both · +6 other terms	13	$20	$20	$3	13%	—	$19 – $33
10	Ambetter percent of total billed charges · bothfrom % of charges	12	$29	$29	—	—	—	$29 – $29
11	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$29	$22	$12	57%	—	$9 – $36
12	Bcbs Nj fee schedule · outpatient	12	$24	$30	$11	37%	—	$20 – $55
13	Medica percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$599	$658	$399	61%	—	$103 – $2.0k
14	Highmark fee schedule · outpatient · +3 other terms	10	$33	$33	—	—	—	$33 – $33
15	Cigna facility · fee schedule · outpatient · +8 other terms	9	$69	$69	$1	2%	—	$69 – $73
16	Humana fee schedule · outpatient · +9 other terms	9	$15	$111	$106	95%	—	$15 – $294
17	Tricare percent of total billed charges · bothfrom % of charges	8	$80	$75	$14	18%	—	$38 – $80
18	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$15	$15	—	—	—	$15 – $15
19	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$30	$30	$1	3%	—	$30 – $32
20	Medicaid fee schedule · outpatient · +3 other terms	7	$73	$101	$81	80%	—	$40 – $298
21	Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms	7	$59	$71	$58	82%	—	$4 – $194
22	First Health professional · fee schedule · both · +3 other terms	3	$17	$17	—	—	—	$17 – $17
23	Kaiser fee schedule · outpatient · +3 other terms	3	$73	$63	$11	18%	—	$51 – $75
24	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges	3	$44	$44	—	—	—	$44 – $44
25	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1

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