CPT 0696T
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
Bdy surf mapg pm/cvdfb f/up
Low
$13
Average
$60
Median
$51
High
$258
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +4 other terms | 295 | $40 | $52 | $32 | 61% | — | $21 – $313 |
| 2 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 247 | $37 | $56 | $59 | 105% | — | $19 – $1.1k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 239 | $82 | $99 | $82 | 83% | — | $1 – $977 |
| 4 | Humana fee schedule · outpatient · +5 other terms | 216 | $37 | $48 | $29 | 61% | — | $34 – $158 |
| 5 | Cigna fee schedule · outpatient · +3 other terms | 125 | $38 | $54 | $34 | 63% | — | $35 – $193 |
| 6 | WellCare fee schedule · outpatient · +1 other terms | 106 | $38 | $44 | $14 | 32% | — | $35 – $87 |
| 7 | Molina fee schedule · outpatient · +1 other terms | 92 | $43 | $50 | $17 | 34% | — | $27 – $119 |
| 8 | Anthem fee schedule · outpatient · +4 other terms | 87 | $47 | $82 | $45 | 54% | — | $35 – $273 |
| 9 | Devoted fee schedule · outpatient · +1 other terms | 61 | $37 | $38 | $2 | 5% | — | $35 – $42 |
| 10 | Kaiser fee schedule · outpatient · +2 other terms | 59 | $54 | $72 | $46 | 64% | — | $37 – $275 |
← Hospitals reporting CPT 0696T · Snapshot 20261113T090226Z-3ce6c0b8