Low
$67
Average
$130
Median
$134
High
$186
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · case rate · outpatient · +1 other terms | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Excellus facility · case rate · outpatient | 1 | $186 | $186 | $119 | 64% | — | $67 – $306 |
| 3 | UnitedHealthcare facility · case rate · outpatient | 1 | $172 | $172 | $103 | 60% | — | $69 – $275 |
| 4 | WellCare facility · case rate · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
← Hospitals reporting CPT 97168-GO · Snapshot 20261110T202143Z-6f619f9d