Low
$29
Average
$59
Median
$67
High
$75
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · case rate · outpatient · +2 other terms | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Excellus facility · case rate · outpatient · +2 other terms | 1 | $75 | $75 | $48 | 64% | — | $27 – $124 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 1 | $151 | $151 | $124 | 82% | — | $28 – $275 |
| 4 | WellCare facility · case rate · outpatient · +1 other terms | 1 | $27 | $27 | — | — | — | $27 – $27 |
← Hospitals reporting CPT 97140-GO · Snapshot 20261112T181611Z-3fa9fb76