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
Brazil, IN
See all hospitals reporting CPT 0409T →Price type
St. Vincent Clay Hospital, Inc.’s median price of $20.8k is 8% below the median hospital's median price ($22.5k), higher than 30% 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: 7 payers, 22 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 | Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient | $534.00 | $534.00 | $534.00 – $534.00 |
| 2 | Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient | $534.00 | $534.00 | $534.00 – $534.00 |
| 3 | Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient | $534.00 | $534.00 | $534.00 – $534.00 |
| 4 | Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient | $534.00 | $534.00 | $534.00 – $534.00 |
| 5 | Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient | $534.00 | $534.00 | $534.00 – $534.00 |
| 6 | Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient | $534.00 | $534.00 | $534.00 – $534.00 |
| 7 | Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient | $534.00 | $534.00 | $534.00 – $534.00 |
| 8 | Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient | $534.00 | $534.00 | $534.00 – $534.00 |
| 9 | UnitedHealthcare 9384_united healthcare clin 20250101 fee schedule · both | $593.70 | $593.70 | $593.70 – $593.70 |
| 10 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both | $749.85 | $749.85 | $749.85 – $749.85 |
| 11 | UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both | $749.85 | $749.85 | $749.85 – $749.85 |
| 12 | Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 13 | Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 14 | Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 15 | Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 16 | Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 17 | Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 18 | Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 19 | Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 20 | Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 21 | UnitedHealthcare 9009_united healthcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
| 22 | WellCare 9018_wellcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient | $20,792 | $20,792 | $20,792 – $20,792 |
Last updated: Jan 1, 2026
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