CPT 76375
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
3d/holograph reconstr add-on
Low
$106
Average
$5.1k
Median
$251
High
$25k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
5 payers; the 90th percentile is 142.5× 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 | Highmark other · both | 1 | $256 | $256 | — | — | — | $256 – $256 |
| 2 | Humana other · both | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 3 | Medicaid facility · other · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Molina facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
| 5 | UnitedHealthcare facility · other · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
← Hospitals reporting CPT 76375 · Snapshot 20261113T090226Z-3ce6c0b8