CPT 0255T
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
EVASC RPR ILIAC ART BIFR S&I
Low
$107
Average
$1.9k
Median
$710
High
$7.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 34.9× 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 | Anthem fee schedule · outpatient · +1 other terms | 17 | $540 | $540 | — | — | — | $540 – $540 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 9 | $8.1k | $8.7k | $3.7k | 42% | — | $4.8k – $17.2k |
| 3 | Devoted facility · fee schedule · outpatient | 7 | $174 | $191 | $41 | 21% | — | $174 – $290 |
| 4 | Kaiser facility · fee schedule · outpatient · +1 other terms | 7 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 5 | Aetna fee schedule · outpatient · +2 other terms | 2 | $914 | $914 | — | — | — | $914 – $914 |
| 6 | Molina facility · fee schedule · outpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | UnitedHealthcare facility · fee schedule · outpatient | 2 | $923 | $653 | $762 | 117% | — | $114 – $1.7k |
| 8 | Cigna fee schedule · both · +1 other terms | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 9 | Humana facility · fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 10 | Tricare facility · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
← Hospitals reporting CPT 0255T · Snapshot 20261113T090226Z-3ce6c0b8