Low
$191
Average
$391
Median
$386
High
$602
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · case rate · outpatient · +1 other terms | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 2 | Excellus facility · case rate · outpatient | 1 | $535 | $535 | $344 | 64% | — | $191 – $879 |
| 3 | UnitedHealthcare facility · case rate · outpatient | 1 | $236 | $236 | $39 | 16% | — | $197 – $275 |
| 4 | WellCare facility · case rate · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
← Hospitals reporting CPT 92612-GN · Snapshot 20261110T202143Z-6f619f9d