CPT 0474T
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 aqueous drg dev io rsvr
Low
$92
Average
$2.3k
Median
$846
High
$9.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
36 payers; the 90th percentile is 15.2× 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 | 180 | $7.3k | $10.3k | $8.5k | 83% | — | $0 – $36.7k |
| 2 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 151 | $10.1k | $9.5k | $6.8k | 72% | — | $39 – $36.0k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 129 | $4.6k | $5.9k | $5.5k | 93% | — | $264 – $37.3k |
| 4 | Cigna fee schedule · outpatient · +4 other terms | 59 | $5.4k | $6.9k | $5.1k | 73% | — | $0 – $20.7k |
| 5 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $1.7k | $1.7k | $713 | 41% | — | $843 – $4.5k |
| 6 | Humana fee schedule · outpatient · +5 other terms | 26 | $2.0k | $3.3k | $3.9k | 118% | — | $363 – $19.6k |
| 7 | Bcbs La fee schedule · outpatient · +1 other terms | 24 | $7.1k | $6.8k | $1.1k | 17% | — | $4.6k – $9.3k |
| 8 | Anthem fee schedule · outpatient · +4 other terms | 23 | $5.0k | $5.1k | $5.4k | 106% | — | $1.2k – $17.0k |
| 9 | Highmark fee schedule · outpatient · +3 other terms | 13 | $513 | $616 | $602 | 98% | — | $396 – $6.2k |
| 10 | Wellmark fee schedule · both | 13 | $640 | $640 | — | — | — | $640 – $640 |
← Hospitals reporting CPT 0474T · Snapshot 20261113T090226Z-3ce6c0b8