CPT 0164A
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
Adm srscv2 bvl 10mcg/0.2ml b
Low
$14
Average
$1.4k
Median
$38
High
$25k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 2.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna other · outpatient | 10 | $23 | $32 | $16 | 49% | — | $18 – $62 |
| 2 | UnitedHealthcare other · outpatient | 10 | $27 | $29 | $11 | 38% | — | $16 – $52 |
| 3 | Aetna other · outpatient · +1 other terms | 5 | $36 | $32 | $12 | 39% | — | $11 – $48 |
| 4 | Optum other · outpatient · +1 other terms | 5 | $80 | $66 | $17 | 25% | — | $46 – $80 |
| 5 | Bcbs La other · outpatient | 4 | $40 | $36 | $7 | 21% | — | $23 – $40 |
| 6 | Tricare other · outpatient | 3 | $60 | $60 | — | — | — | $60 – $60 |
| 7 | WellCare other · outpatient | 3 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | Highmark facility · other · outpatient | 2 | $54 | $57 | $21 | 37% | — | $19 – $85 |
| 9 | Oscar facility · other · outpatient | 2 | $59 | $59 | $18 | 30% | — | $41 – $77 |
| 10 | Ambetter other · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
← Hospitals reporting CPT 0164A · Snapshot 20261113T090226Z-3ce6c0b8