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
Insj/rplc car modulj pls gn
62 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +24 other terms | 393 | $22,271 | $24,749 | $1.05 – $153,553 |
| 2 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 388 | $22,482 | $32,172 | $1.00 – $659,616 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 282 | $32,417 | $37,866 | $0.29 – $172,828 |
| 4 | Humana fee schedule · outpatient · +21 other terms | 255 | $22,271 | $20,552 | $1.10 – $64,268 |
| 5 | Cigna fee schedule · outpatient · +18 other terms | 178 | $22,271 | $23,150 | $0.32 – $115,082 |
| 6 | WellCare fee schedule · outpatient · +10 other terms | 135 | $22,483 | $25,453 | $16,332 – $52,604 |
| 7 | Oscar case rate · outpatient · +11 other terms | 129 | $11,178 | $12,346 | $5,000 – $35,098 |
| 8 | Molina fee schedule · outpatient · +17 other terms | 107 | $26,618 | $29,557 | $1.05 – $51,516 |
| 9 | Anthem fee schedule · outpatient · +18 other terms | 89 | $22,271 | $20,708 | $534.00 – $162,770 |
| 10 | Healthcare Highways case rate · outpatient · +3 other terms | 73 | $12,167 | $12,868 | $5,499 – $15,184 |
| 11 | Devoted fee schedule · outpatient · +5 other terms | 68 | $22,729 | $22,797 | $20,688 – $24,871 |
| 12 | Kaiser fee schedule · outpatient · +11 other terms | 64 | $31,664 | $42,814 | $22,271 – $179,466 |
| 13 | Ambetter facility · fee schedule · outpatient · +11 other terms | 63 | $39,764 | $41,202 | $22,231 – $54,074 |
| 14 | Caresource fee schedule · outpatient · +11 other terms | 53 | $20,792 | $16,998 | $1.05 – $38,010 |
| 15 | Optum fee schedule · outpatient · +8 other terms | 40 | $22,271 | $23,886 | $6,343 – $82,108 |
| 16 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $32,820 | $34,258 | $17,716 – $94,258 |
| 17 | Clover fee schedule · outpatient · +5 other terms | 31 | $24,531 | $23,675 | $20,077 – $26,434 |
| 18 | Medicare fee schedule · outpatient · +9 other terms | 27 | $22,271 | $22,365 | $21,899 – $24,823 |
| 19 | Tricare fee schedule · outpatient · +4 other terms | 26 | $21,188 | $26,960 | $20,181 – $50,813 |
| 20 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $28,238 | $28,168 | $21,228 – $36,930 |
| 21 | Bcbs La fee schedule · outpatient · +3 other terms | 25 | $43,201 | $42,251 | $20,402 – $69,787 |
| 22 | MultiPlan fee schedule · outpatient · +13 other terms | 24 | $37,798 | $34,643 | $17,620 – $55,721 |
| 23 | Superior Healthplan facility · fee schedule · outpatient · +5 other terms | 21 | $23,462 | $23,038 | $22,345 – $23,501 |
| 24 | Highmark facility · fee schedule · outpatient · +7 other terms | 19 | $38,051 | $40,679 | $21,186 – $101,634 |
| 25 | First Health fee schedule · outpatient · +10 other terms | 18 | $17,599 | $20,440 | $6,944 – $45,296 |
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