CPT 0631T
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
Tc vis lit hyperspectral img
Low
$19
Average
$35
Median
$25
High
$76
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 66 | $26 | $35 | $24 | 69% | — | $7 – $136 |
| 2 | Anthem facility · case rate · outpatient · +1 other terms | 43 | $74 | $56 | $33 | 58% | — | $23 – $133 |
| 3 | Cigna facility · case rate · outpatient · +1 other terms | 39 | $28 | $52 | $42 | 81% | — | $22 – $133 |
| 4 | WellCare facility · case rate · outpatient · +1 other terms | 39 | $30 | $30 | $6 | 20% | — | $23 – $54 |
| 5 | Humana facility · case rate · outpatient · +1 other terms | 38 | $25 | $25 | $5 | 19% | — | $21 – $53 |
| 6 | Aetna facility · case rate · outpatient · +2 other terms | 37 | $26 | $34 | $32 | 95% | — | $23 – $199 |
| 7 | Molina facility · case rate · outpatient · +1 other terms | 27 | $74 | $55 | $33 | 60% | — | $19 – $133 |
| 8 | Blue Cross Blue Shield facility · case rate · outpatient · +1 other terms | 26 | $25 | $25 | $2 | 9% | — | $22 – $33 |
| 9 | Ambetter facility · case rate · outpatient · +1 other terms | 22 | $49 | $50 | $11 | 22% | — | $23 – $63 |
| 10 | Caresource facility · case rate · outpatient · +1 other terms | 21 | $75 | $66 | $30 | 46% | — | $23 – $136 |
← Hospitals reporting CPT 0631T · Snapshot 20261113T090226Z-3ce6c0b8