CPT 01490
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
Anes lwr leg cst app rmv/rpr
Low
$1
Average
$74
Median
$56
High
$233
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna percent of total billed charges · outpatientfrom % of charges · +5 other terms | 10 | $118 | $118 | — | — | — | $118 – $118 |
| 2 | Aetna professional · percent of total billed charges · bothfrom % of charges · +5 other terms | 9 | $2 | $96 | $107 | 112% | — | $1 – $251 |
| 3 | Humana professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 9 | $1 | $40 | $66 | 165% | — | $1 – $241 |
| 4 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +5 other terms | 9 | $97 | $119 | $129 | 108% | — | $1 – $285 |
| 5 | Blue Cross Blue Shield professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 6 | $1 | $72 | $100 | 140% | — | $1 – $229 |
| 6 | UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms | 6 | $53 | $64 | $27 | 42% | — | $1 – $105 |
| 7 | Medica facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 5 | $77 | $77 | $25 | 33% | — | $47 – $105 |
| 8 | Bcbs Wy facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 4 | $105 | $105 | $0 | 0% | — | $105 – $106 |
| 9 | Molina percent of total billed charges · bothfrom % of charges · +2 other terms | 4 | $28 | $28 | — | — | — | $28 – $28 |
| 10 | Anthem professional · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 3 | $30 | $20 | $12 | 59% | — | $7 – $33 |
← Hospitals reporting CPT 01490 · Snapshot 20261113T090226Z-3ce6c0b8