CPT 0964T
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
I&cust prep jaw xpnsj 1arch
Low
$1.8k
Average
$4.0k
Median
$3.6k
High
$7.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 1.9× 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 | Aetna fee schedule · outpatient · +4 other terms | 255 | $3.6k | $4.3k | $2.2k | 51% | — | $1.8k – $17.3k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 201 | $5.2k | $6.3k | $2.9k | 47% | — | $1 – $22.8k |
| 3 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 185 | $3.3k | $4.9k | $6.1k | 125% | — | $1.4k – $95.3k |
| 4 | Humana fee schedule · outpatient · +4 other terms | 157 | $3.3k | $3.4k | $635 | 18% | — | $2.2k – $9.6k |
| 5 | Cigna fee schedule · outpatient · +4 other terms | 124 | $3.4k | $5.0k | $3.4k | 68% | — | $3.0k – $20.7k |
| 6 | Molina fee schedule · outpatient · +5 other terms | 75 | $4.2k | $4.5k | $1.7k | 38% | — | $59 – $7.7k |
| 7 | Anthem fee schedule · outpatient · +7 other terms | 70 | $3.3k | $6.7k | $6.1k | 91% | — | $2.1k – $24.3k |
| 8 | WellCare fee schedule · outpatient · +4 other terms | 69 | $3.6k | $3.6k | $440 | 12% | — | $3.0k – $4.6k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 57 | $4.8k | $6.4k | $4.2k | 66% | — | $3.2k – $25.5k |
| 10 | Devoted fee schedule · outpatient · +2 other terms | 46 | $3.3k | $3.3k | $185 | 6% | — | $3.1k – $3.7k |
← Hospitals reporting CPT 0964T · Snapshot 20261113T090226Z-3ce6c0b8