CPT 91317
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
Fee Schedule
Low
$0
Average
$35
Median
$0
High
$454
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 28 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 24 | $0 | $3 | $10 | 307% | — | $0 – $35 |
| 3 | Anthem fee schedule · outpatient · +2 other terms | 22 | $0 | $1 | $6 | 584% | — | $0 – $35 |
| 4 | Humana fee schedule · outpatient · +1 other terms | 17 | $0 | $7 | $14 | 206% | — | $0 – $36 |
| 5 | MultiPlan fee schedule · inpatient · +2 other terms | 17 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Medica fee schedule · outpatient · +3 other terms | 16 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Phcs fee schedule · inpatient · +1 other terms | 9 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Aetna fee schedule · outpatient · +3 other terms | 6 | $34 | $23 | $16 | 71% | — | $0 – $35 |
| 9 | Cigna facility · fee schedule · outpatient · +3 other terms | 4 | $0 | $0 | $0 | 100% | — | $0 – $0 |
| 10 | Molina facility · fee schedule · outpatient | 2 | $13 | $13 | — | — | — | $13 – $13 |
← Hospitals reporting CPT 91317 · Snapshot 20261113T090226Z-3ce6c0b8