CDM PX-30183735002
Low
$21
Average
$21
Median
$21
High
$21
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Prices here combine facility and professional fees. See them separately →Experimental
Rates differ by insurer. See what each payer pays for this code →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Peters Hospital Albany, NY | $22 | $21 | $2 | 8% | 276–312 | $17 – $22 |
| 2 | Samaritan Hospital Troy, NY | $22 | $21 | $2 | 8% | 195–213 | $17 – $22 |
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