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.
Original text from hospital filings
Nudt15&tpmt gene com vrnt
Buffalo, NY
See all hospitals reporting CPT 0169U →Price type
Kaleida Health’s median price of $505 is 5% above the median hospital's median price ($482), higher than 67% of the 1,292 hospitals reporting CPT 0169U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Cigna mvp medicaid managed care plan fee schedule · outpatient | $410.23 | $410.23 | $410.23 – $410.23 |
| 2 | Tricare government fee schedule · outpatient | $442.86 | $442.86 | $442.86 – $442.86 |
| 3 | Cigna mvp medicare managed care plan fee schedule · outpatient | $477.83 | $477.83 | $410.23 – $545.42 |
| 4 | WellCare medicare managed care plan fee schedule · outpatient | $484.82 | $484.82 | $484.82 – $484.82 |
| 5 | Aetna medicare managed care plan fee schedule · outpatient | $494.14 | $494.14 | $494.14 – $494.14 |
| 6 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $505.79 | $505.79 | $505.79 – $505.79 |
| 7 | Cigna mvp all commercial plans fee schedule · outpatient | $438.20 | $512.79 | $438.20 – $661.96 |
| 8 | Aetna all commercial plans fee schedule · outpatient | $536.10 | $536.10 | $536.10 – $536.10 |
| 9 | Blue Cross Blue Shield advantage - healthnow medicare managed care plan fee schedule · outpatient | $498.41 | $542.44 | $317.88 – $855.05 |
| 10 | Blue Cross Blue Shield healthnow standard exchange fee schedule · outpatient | $411.28 | $653.51 | $360.68 – $1,241 |
| 11 | Blue Cross Blue Shield align - healthnow other commercial plan fee schedule · outpatient | $456.97 | $726.12 | $400.77 – $1,379 |
| 12 | Blue Cross Blue Shield healthnow ppo/traditional fee schedule · outpatient | $576.49 | $916.56 | $505.65 – $1,740 |
Last updated: Apr 1, 2026
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