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
$27
Average
$6.1k
Median
$344
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 389.4× 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 professional · percent of total billed charges · bothfrom % of charges | 2 | $65 | $65 | $57 | 88% | — | $8 – $122 |
| 2 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $78 | $78 | $69 | 88% | — | $9 – $147 |
| 3 | Aetna percent of total billed charges · bothfrom % of charges | 1 | $867 | $867 | — | — | — | $867 – $867 |
| 4 | Anthem percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Blue Cross Blue Shield facility · percent of total billed charges · outpatientfrom % of charges | 1 | $344 | $344 | — | — | — | $344 – $344 |
| 6 | Cigna percent of total billed charges · bothfrom % of charges · +1 other terms | 1 | $681 | $681 | — | — | — | $681 – $681 |
| 7 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
| 8 | Tricare percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 9 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $62 | $62 | — | — | — | $62 – $62 |
← Hospitals reporting CPT 76375 · Snapshot 20261113T090226Z-3ce6c0b8