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
Lysis Intranasal Synechia
Low
$194
Average
$1.8k
Median
$852
High
$17.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 11.9× 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 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 524 | $515 | $1.5k | $3.9k | 251% | — | $1 – $27.7k |
| 2 | Aetna fee schedule · outpatient · +30 other terms | 475 | $578 | $1.6k | $2.6k | 167% | — | $1 – $26.6k |
| 3 | Humana fee schedule · outpatient · +25 other terms | 373 | $510 | $667 | $961 | 144% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 354 | $922 | $1.5k | $2.1k | 140% | — | $0 – $22.1k |
| 5 | Cigna case rate · outpatient · +22 other terms | 315 | $3.7k | $5.4k | $6.7k | 123% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 223 | $311 | $412 | $467 | 113% | — | $1 – $4.3k |
| 7 | WellCare fee schedule · outpatient · +16 other terms | 172 | $514 | $635 | $545 | 86% | — | $127 – $4.3k |
| 8 | Oscar case rate · outpatient · +19 other terms | 137 | $2.6k | $2.7k | $703 | 26% | — | $796 – $7.5k |
| 9 | Anthem fee schedule · outpatient · +24 other terms | 126 | $522 | $661 | $865 | 131% | — | $65 – $6.3k |
| 10 | Kaiser fee schedule · outpatient · +18 other terms | 99 | $680 | $891 | $835 | 94% | — | $25 – $4.3k |
| 11 | Ambetter fee schedule · outpatient · +15 other terms | 83 | $932 | $836 | $491 | 59% | — | $71 – $2.3k |
| 12 | Aetna Better Health fee schedule · outpatient · +15 other terms | 72 | $236 | $252 | $102 | 40% | — | $103 – $1.2k |
| 13 | Devoted fee schedule · outpatient · +9 other terms | 68 | $525 | $495 | $126 | 25% | — | $148 – $601 |
| 14 | Optum fee schedule · outpatient · +17 other terms | 58 | $468 | $540 | $384 | 71% | — | $131 – $2.0k |
| 15 | Caresource fee schedule · outpatient · +14 other terms | 47 | $506 | $668 | $948 | 142% | — | $1 – $4.3k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 46 | $2.4k | $2.3k | $247 | 11% | — | $765 – $2.4k |
| 17 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $6.5k | $5.1k | 79% | — | $1.6k – $14.6k |
| 18 | MultiPlan fee schedule · outpatient · +20 other terms | 42 | $816 | $924 | $724 | 78% | — | $94 – $7.3k |
| 19 | Amerihealth Caritas case rate · outpatient · +10 other terms | 34 | $496 | $1.9k | $1.3k | 70% | — | $468 – $3.3k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $649 | $635 | $300 | 47% | — | $187 – $1.8k |
| 21 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 33 | $197 | $312 | $165 | 53% | — | $131 – $575 |
| 22 | Clover fee schedule · outpatient · +9 other terms | 31 | $569 | $1.1k | $1.3k | 117% | — | $487 – $4.4k |
| 23 | First Health fee schedule · outpatient · +20 other terms | 29 | $543 | $1.4k | $2.5k | 179% | — | $172 – $7.6k |
| 24 | Tricare fee schedule · outpatient · +15 other terms | 29 | $489 | $1.1k | $1.7k | 146% | — | $302 – $5.1k |
| 25 | Medica case rate · outpatient · +15 other terms | 28 | $917 | $1.2k | $1.1k | 92% | — | $320 – $4.5k |
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