CPT 64655
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
Revj/rplcmt bat mod sys lead
Low
$610
Average
$5.0k
Median
$4.2k
High
$20.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
42 payers; the 90th percentile is 6.9× 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 case rate · outpatient · +16 other terms | 165 | $7.7k | $8.4k | $3.9k | 46% | — | $825 – $33.2k |
| 2 | Aetna fee schedule · outpatient · +15 other terms | 157 | $3.9k | $4.1k | $1.7k | 42% | — | $553 – $14.5k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 115 | $6.0k | $8.3k | $4.2k | 51% | — | $517 – $24.3k |
| 4 | Humana fee schedule · outpatient · +13 other terms | 63 | $3.8k | $3.9k | $772 | 20% | — | $577 – $4.8k |
| 5 | Molina case rate · outpatient · +9 other terms | 56 | $2.6k | $2.7k | $514 | 19% | — | $1.9k – $3.7k |
| 6 | Cigna case rate · outpatient · +11 other terms | 53 | $7.5k | $11.4k | $9.6k | 84% | — | $2.4k – $40.7k |
| 7 | Kaiser fee schedule · outpatient · +6 other terms | 44 | $6.3k | $7.6k | $4.9k | 65% | — | $3.5k – $28.1k |
| 8 | Ambetter facility · fee schedule · outpatient · +3 other terms | 36 | $6.0k | $6.3k | $1.8k | 28% | — | $3.8k – $15.1k |
| 9 | Devoted facility · fee schedule · outpatient · +3 other terms | 34 | $3.3k | $3.5k | $277 | 8% | — | $3.3k – $4.0k |
| 10 | Superior Healthplan case rate · outpatient | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
← Hospitals reporting CPT 64655 · Snapshot 20261113T090226Z-3ce6c0b8