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
Insj/rplc car modulj pls gn
Buffalo, NY
See all hospitals reporting CPT 0409T →Price type
Kaleida Health’s median price of $30.1k is 34% above the median hospital's median price ($22.5k), higher than 79% of the 1,319 hospitals reporting CPT 0409T. 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, 11 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 | Aetna all commercial plans fee schedule · outpatient | $6,230 | $6,230 | $5,301 – $7,158 |
| 2 | Tricare government fee schedule · outpatient | $26,378 | $26,378 | $26,378 – $26,378 |
| 3 | WellCare medicare managed care plan fee schedule · outpatient | $28,877 | $28,877 | $28,877 – $28,877 |
| 4 | Aetna medicare managed care plan fee schedule · outpatient | $29,432 | $29,432 | $29,432 – $29,432 |
| 5 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $30,126 | $30,126 | $30,126 – $30,126 |
| 6 | Blue Cross Blue Shield advantage - healthnow medicare managed care plan fee schedule · outpatient | $29,686 | $32,309 | $18,934 – $50,929 |
| 7 | Cigna mvp medicare managed care plan fee schedule · outpatient | $32,487 | $32,487 | $32,487 – $32,487 |
| 8 | Blue Cross Blue Shield healthnow standard exchange fee schedule · outpatient | $24,497 | $38,925 | $21,483 – $73,914 |
| 9 | Cigna mvp all commercial plans fee schedule · outpatient | $39,428 | $39,428 | $39,428 – $39,428 |
| 10 | Blue Cross Blue Shield align - healthnow other commercial plan fee schedule · outpatient | $27,218 | $43,249 | $23,871 – $82,127 |
| 11 | Blue Cross Blue Shield healthnow ppo/traditional fee schedule · outpatient | $34,337 | $54,593 | $30,118 – $103,613 |
Last updated: Apr 1, 2026
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