CPT 96125-GO
Low
$280
Average
$280
Median
$280
High
$280
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1 hospital rate
iThe hospitals that file a Excellus 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 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $280 | $280 | $180 | 64% | — | $100 – $460 |
← Payers reporting CPT 96125-GO · Snapshot 20261113T090226Z-3ce6c0b8