The hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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3 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 1 | $12.33 | $6.00 – $21.00 |
| 2 | Haxtun Hospital District Haxtun, CO fee schedule · outpatient | 1 | $7.00 | $7.00 – $7.00 |
| 3 | Springfield Hospital Springfield, VT percent of total billed charges · outpatientfrom % of charges | 2 | $3.50 | $3.00 – $4.00 |
← Payers reporting CPT 14399 · Snapshot 20261109T115250Z-6452cf6e