The hospitals that file a Superior Healthplan 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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1 hospital rate
| # | Plans | |||
|---|---|---|---|---|
| 1 | McCamey County Hospital District McCamey, TX fee schedule · outpatient | 2 | $4.50 | $4.00 – $5.00 |
← Payers reporting CPT 40915 · Snapshot 20261108T203506Z-bb90dbab