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
ALL IMM EXT TWO OR MORE INJ
Low
$0
Average
$599
Median
$43
High
$20k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 15.1× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +14 other terms | 150 | $80 | $164 | $783 | 477% | — | $12 – $8.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 82 | $38 | $78 | $91 | 116% | — | $1 – $421 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 57 | $39 | $43 | $31 | 73% | — | $0 – $120 |
| 4 | Aetna fee schedule · outpatient · +16 other terms | 41 | $17 | $688 | $1.9k | 272% | — | $1 – $8.4k |
| 5 | Molina facility · case rate · outpatient · +15 other terms | 28 | $18 | $19 | $5 | 24% | — | $13 – $34 |
| 6 | Anthem fee schedule · both · +12 other terms | 27 | $3 | $6 | $9 | 143% | — | $3 – $41 |
| 7 | Cigna fee schedule · both · +15 other terms | 25 | $36 | $41 | $16 | 38% | — | $17 – $83 |
| 8 | Caresource fee schedule · outpatient · +5 other terms | 15 | $83 | $83 | — | — | — | $83 – $83 |
| 9 | Highmark fee schedule · outpatient · +5 other terms | 13 | $17 | $18 | $8 | 45% | — | $16 – $93 |
| 10 | Optum facility · case rate · outpatient · +9 other terms | 13 | $16 | $18 | $4 | 23% | — | $14 – $28 |
| 11 | Wellmark fee schedule · both · +6 other terms | 13 | $20 | $20 | $2 | 8% | — | $19 – $24 |
| 12 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $84 | $58 | $42 | 74% | — | $11 – $105 |
| 13 | Bcbs Nj fee schedule · outpatient | 12 | $12 | $15 | $6 | 37% | — | $11 – $29 |
| 14 | Regence fee schedule · outpatient · +6 other terms | 12 | $17 | $19 | $5 | 28% | — | $13 – $45 |
| 15 | Medica fee schedule · outpatient · +5 other terms | 11 | $31 | $32 | $15 | 46% | — | $18 – $123 |
| 16 | Tricare fee schedule · outpatient · +5 other terms | 10 | $78 | $78 | — | — | — | $78 – $78 |
| 17 | Aetna Better Health fee schedule · inpatient · +4 other terms | 9 | $12 | $22 | $18 | 83% | — | $12 – $57 |
| 18 | Ucare fee schedule · both · +8 other terms | 9 | $11 | $11 | $0 | 2% | — | $11 – $11 |
| 19 | Amerihealth Caritas facility · case rate · outpatient · +4 other terms | 7 | $16 | $16 | $1 | 3% | — | $16 – $18 |
| 20 | First Health fee schedule · both · +8 other terms | 5 | $18 | $18 | — | — | — | $18 – $18 |
| 21 | Medcost facility · percent of total billed charges · bothfrom % of charges | 5 | $101 | $101 | $1 | 1% | — | $100 – $102 |
| 22 | Medicaid case rate · both · +6 other terms | 5 | $39 | $39 | — | — | — | $39 – $39 |
| 23 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 5 | $101 | $101 | $1 | 1% | — | $100 – $102 |
| 24 | Sanford Health Plan facility · percent of total billed charges · bothfrom % of charges · +2 other terms | 5 | $102 | $102 | — | — | — | $102 – $102 |
| 25 | Ambetter fee schedule · both · +2 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting CPT 95125 · Snapshot 20261113T090226Z-3ce6c0b8