Low
$95
Average
$279
Median
$226
High
$571
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · case rate · outpatient · +1 other terms | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Excellus facility · case rate · outpatient | 1 | $265 | $265 | $170 | 64% | — | $95 – $435 |
| 3 | UnitedHealthcare facility · case rate · outpatient | 1 | $186 | $186 | $89 | 48% | — | $98 – $275 |
| 4 | WellCare facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
← Hospitals reporting CPT 96105-GN · Snapshot 20261110T202143Z-6f619f9d