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
Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl
Low
$710
Average
$3.0k
Median
$2.7k
High
$10.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 5.1× 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 · +26 other terms | 502 | $2.3k | $3.1k | $3.5k | 112% | 5–50 | $1 – $68.6k |
| 2 | Cigna case rate · outpatient · +19 other terms | 322 | $7.0k | $8.7k | $5.8k | 67% | 1–10 | $1 – $40.7k |
| 3 | Aetna fee schedule · outpatient · +25 other terms | 434 | $2.6k | $4.1k | $4.8k | 119% | — | $1 – $53.3k |
| 4 | Humana fee schedule · outpatient · +22 other terms | 346 | $2.3k | $2.2k | $1.5k | 71% | — | $1 – $23.2k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 338 | $3.9k | $4.6k | $3.8k | 83% | — | $1 – $46.3k |
| 6 | Molina fee schedule · outpatient · +20 other terms | 221 | $1.6k | $1.4k | $1.1k | 81% | — | $1 – $5.5k |
| 7 | WellCare fee schedule · outpatient · +13 other terms | 164 | $2.4k | $2.5k | $856 | 35% | — | $426 – $5.5k |
| 8 | Oscar case rate · outpatient · +16 other terms | 137 | $5.6k | $5.3k | $1.6k | 30% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +19 other terms | 124 | $2.5k | $2.8k | $3.1k | 110% | — | $569 – $17.4k |
| 10 | Kaiser fee schedule · outpatient · +17 other terms | 93 | $3.0k | $3.6k | $2.8k | 78% | — | $518 – $16.6k |
| 11 | Ambetter fee schedule · outpatient · +10 other terms | 79 | $4.1k | $3.5k | $1.5k | 44% | — | $958 – $5.7k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.1k | $933 | 23% | — | $2.7k – $5.5k |
| 13 | Aetna Better Health fee schedule · outpatient · +12 other terms | 72 | $882 | $913 | $308 | 34% | — | $423 – $2.7k |
| 14 | Devoted fee schedule · outpatient · +7 other terms | 68 | $2.4k | $2.2k | $593 | 27% | — | $569 – $2.6k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 53 | $2.4k | $2.5k | $1.1k | 44% | — | $1 – $4.1k |
| 16 | Optum fee schedule · outpatient · +17 other terms | 41 | $2.2k | $3.0k | $3.1k | 103% | — | $569 – $14.5k |
| 17 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $995 | $354 | 36% | — | $929 – $3.5k |
| 18 | MultiPlan case rate · outpatient · +16 other terms | 34 | $7.1k | $7.6k | $2.5k | 33% | — | $1.3k – $11.6k |
| 19 | Amerihealth Caritas case rate · outpatient · +7 other terms | 33 | $797 | $5.4k | $4.6k | 86% | — | $753 – $14.8k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $2.9k | $2.8k | $1.3k | 48% | — | $698 – $8.0k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 31 | $2.5k | $2.5k | $147 | 6% | — | $2.1k – $2.7k |
| 22 | Tricare fee schedule · outpatient · +11 other terms | 30 | $2.2k | $2.3k | $1.3k | 56% | — | $589 – $5.3k |
| 23 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 28 | $733 | $1.5k | $806 | 54% | — | $733 – $2.5k |
| 24 | Medica case rate · outpatient · +12 other terms | 28 | $2.9k | $3.2k | $1.3k | 39% | — | $1.1k – $6.3k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $4.6k | $4.6k | $1.0k | 22% | — | $1.2k – $6.5k |
← Hospitals reporting CPT 67901 · Snapshot 20261112T181611Z-3fa9fb76