CPT 0728T
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
DX ALYS VSTBLR IMPLT UNI 1ST
Low
$0
Average
$172
Median
$101
High
$921
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 4.3× 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 · +3 other terms | 31 | $1.0k | $1.2k | $1.9k | 164% | — | $0 – $14.4k |
| 2 | Anthem fee schedule · outpatient · +4 other terms | 24 | $79 | $83 | $23 | 27% | — | $48 – $202 |
| 3 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 9 | $90 | $82 | $21 | 26% | — | $48 – $111 |
| 4 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $213 | $213 | $2 | 1% | — | $211 – $215 |
| 5 | Aetna fee schedule · outpatient | 6 | $49 | $71 | $31 | 44% | — | $48 – $115 |
| 6 | Humana fee schedule · outpatient | 4 | $51 | $51 | $0 | 0% | — | $51 – $51 |
| 7 | Molina fee schedule · outpatient · +1 other terms | 4 | $117 | $123 | $53 | 43% | — | $88 – $237 |
| 8 | Medicaid fee schedule · outpatient | 3 | $90 | $90 | — | — | — | $90 – $90 |
| 9 | WellCare fee schedule · outpatient | 3 | $91 | $91 | $0 | 0% | — | $91 – $92 |
| 10 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting CPT 0728T · Snapshot 20261113T090226Z-3ce6c0b8