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 & Div Symblepharon W/WO Conform/Contact Le
Low
$496
Average
$2.7k
Median
$2.3k
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 | Humana fee schedule · outpatient · +21 other terms | 347 | $2.3k | $2.0k | $1.4k | 68% | 3–30 | $1 – $16.7k |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 497 | $2.3k | $2.9k | $3.6k | 121% | — | $75 – $68.6k |
| 3 | Aetna fee schedule · outpatient · +25 other terms | 441 | $2.5k | $3.8k | $4.3k | 113% | — | $79 – $48.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 342 | $3.6k | $4.3k | $3.2k | 76% | — | $1 – $41.4k |
| 5 | Cigna case rate · outpatient · +20 other terms | 308 | $6.8k | $8.1k | $5.8k | 71% | — | $82 – $40.7k |
| 6 | Molina fee schedule · outpatient · +18 other terms | 212 | $1.2k | $1.3k | $1.1k | 84% | — | $1 – $5.5k |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 161 | $2.4k | $2.4k | $949 | 40% | — | $288 – $5.5k |
| 8 | Oscar case rate · outpatient · +16 other terms | 137 | $5.6k | $5.2k | $1.6k | 30% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +19 other terms | 123 | $2.3k | $2.2k | $2.7k | 125% | — | $384 – $17.4k |
| 10 | Kaiser fee schedule · outpatient · +14 other terms | 98 | $3.0k | $3.4k | $2.8k | 84% | — | $45 – $16.6k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.1k | $942 | 23% | — | $2.7k – $5.5k |
| 12 | Ambetter fee schedule · outpatient · +8 other terms | 75 | $3.9k | $3.1k | $1.7k | 56% | — | $488 – $5.7k |
| 13 | Aetna Better Health fee schedule · outpatient · +11 other terms | 71 | $882 | $886 | $269 | 30% | — | $299 – $2.2k |
| 14 | Devoted fee schedule · outpatient · +7 other terms | 67 | $2.4k | $2.2k | $653 | 30% | — | $384 – $2.6k |
| 15 | Optum fee schedule · outpatient · +14 other terms | 41 | $2.2k | $2.3k | $2.1k | 90% | — | $349 – $8.8k |
| 16 | Caresource fee schedule · outpatient · +9 other terms | 40 | $2.3k | $1.8k | $1.1k | 59% | — | $689 – $4.1k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $995 | $354 | 36% | — | $929 – $3.5k |
| 18 | MultiPlan fee schedule · outpatient · +17 other terms | 34 | $3.5k | $3.7k | $1.1k | 29% | — | $475 – $13.7k |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $2.9k | $2.8k | $1.3k | 48% | — | $698 – $8.0k |
| 20 | Amerihealth Caritas case rate · outpatient · +5 other terms | 32 | $863 | $4.8k | $4.3k | 88% | — | $662 – $10.5k |
| 21 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 32 | $733 | $1.3k | $831 | 65% | — | $349 – $2.4k |
| 22 | Clover fee schedule · outpatient · +6 other terms | 31 | $2.5k | $2.5k | $147 | 6% | — | $2.1k – $2.7k |
| 23 | Medica case rate · outpatient · +8 other terms | 28 | $2.9k | $3.2k | $1.3k | 39% | — | $1.1k – $6.3k |
| 24 | Tricare fee schedule · outpatient · +9 other terms | 28 | $2.2k | $2.4k | $1.4k | 57% | — | $368 – $5.3k |
| 25 | First Health fee schedule · outpatient · +16 other terms | 26 | $2.5k | $3.8k | $5.3k | 140% | — | $439 – $16.3k |
← Hospitals reporting CPT 68340 · Snapshot 20261112T181611Z-3fa9fb76