CPT 67109
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
Description Not Available
Low
$8.7k
Average
$21.5k
Median
$15k
High
$50k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
7 payers; the 90th percentile is 3.8× 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 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 15 | $11.8k | $12.8k | $4.4k | 35% | — | $6.3k – $23.5k |
| 2 | Tricare fee schedule · outpatient | 5 | $50k | $50k | — | — | — | $50k – $50k |
| 3 | Aetna fee schedule · outpatient · +1 other terms | 2 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 4 | Cigna facility · fee schedule · outpatient | 2 | $13.1k | $13.1k | $1.8k | 14% | — | $10.3k – $14.7k |
| 5 | Devoted facility · fee schedule · outpatient | 2 | $15k | $15k | — | — | — | $15k – $15k |
| 6 | Humana facility · fee schedule · outpatient | 2 | $36.3k | $36.3k | $13.8k | 38% | — | $22.5k – $50k |
| 7 | Molina facility · fee schedule · outpatient | 2 | $15k | $15k | — | — | — | $15k – $15k |
← Hospitals reporting CPT 67109 · Snapshot 20261113T090226Z-3ce6c0b8