7 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $225.00 | $225.00 | $225.00 – $225.00 |
| 2 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $208.67 | $208.67 | $159.00 – $239.00 |
| 3 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $212.00 | $212.00 | $212.00 – $212.00 |
| 4 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $265.00 | $265.00 | $265.00 – $265.00 |
| 5 | Phcs percent of total billed charges · outpatientfrom % of charges | 1 | $239.00 | $239.00 | $239.00 – $239.00 |
| 6 | Superior Healthplan fee schedule · outpatient | 1 | $224.50 | $224.50 | $187.00 – $262.00 |
| 7 | UnitedHealthcare facility · case rate · outpatient | 1 | $4,344 | $4,344 | $4,344 – $4,344 |
← Hospitals reporting CPT 67704 · Snapshot 20261109T115250Z-6452cf6e