Low
$128
Average
$128
Median
$128
High
$128
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1 hospital rate
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Saratoga Hospital Saratoga Springs, NY facility · fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
← Payers reporting CPT 78496-FX · Snapshot 20261111T120946Z-9134e7f7