CPT 0164T
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
Remove Lumb Artif Disc Addl
Low
$125
Average
$5.1k
Median
$1.3k
High
$50k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 73.2× 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 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 155 | $9.6k | $11.9k | $9.2k | 77% | — | $0 – $36.7k |
| 2 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 141 | $1.6k | $2.6k | $3.1k | 117% | — | $146 – $22.4k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 111 | $2.9k | $4.3k | $4.5k | 106% | — | $316 – $22.4k |
| 4 | Cigna fee schedule · outpatient · +3 other terms | 45 | $7.2k | $8.0k | $5.9k | 74% | — | $0 – $19.1k |
| 5 | Humana fee schedule · outpatient · +5 other terms | 44 | $3.3k | $4.0k | $4.9k | 121% | — | $521 – $23.5k |
| 6 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $1.7k | $1.7k | $713 | 41% | — | $843 – $4.5k |
| 7 | Anthem fee schedule · outpatient · +4 other terms | 22 | $445 | $1.7k | $5.2k | 302% | — | $445 – $27.3k |
| 8 | Cigna Healthspring fee schedule · both | 12 | $1.2k | $1.2k | $17 | 1% | — | $1.2k – $1.3k |
| 9 | Highmark fee schedule · outpatient · +2 other terms | 11 | $1.3k | $1.4k | $1.0k | 73% | — | $1.2k – $11.1k |
| 10 | Medica fee schedule · both · +4 other terms | 9 | $1.4k | $1.3k | $507 | 38% | — | $585 – $1.8k |
← Hospitals reporting CPT 0164T · Snapshot 20261113T090226Z-3ce6c0b8