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.
Generation details were not recorded for this description.
Original text from hospital filings
NDL NONCORING RFL22G2IN
Low
$0
Average
$121
Median
$55
High
$645
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 54.1× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Carefirst percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | $1 | 24% | 8–80 | $3 – $6 |
| 2 | Humana fee schedule · outpatient · +14 other terms | 72 | $19 | $30 | $20 | 65% | — | $3 – $56 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 35 | $16 | $29 | $41 | 142% | — | $0 – $142 |
| 4 | Aetna fee schedule · outpatient · +14 other terms | 30 | $6 | $206 | $521 | 253% | — | $3 – $2.0k |
| 5 | UnitedHealthcare fee schedule · both · +17 other terms | 27 | $3 | $7 | $5 | 62% | — | $3 – $16 |
| 6 | Anthem facility · case rate · outpatient · +12 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 7 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 8 | Cigna fee schedule · both · +13 other terms | 15 | $7 | $7 | $1 | 8% | — | $5 – $8 |
| 9 | Molina facility · case rate · outpatient · +10 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 10 | Wellmark fee schedule · both · +2 other terms | 13 | $2 | $3 | $1 | 51% | — | $2 – $11 |
| 11 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $24 | $15 | $13 | 84% | — | $0 – $30 |
| 12 | Medica fee schedule · outpatient · +7 other terms | 11 | $11 | $11 | $3 | 28% | — | $5 – $15 |
| 13 | Optum facility · case rate · outpatient · +4 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 14 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $5 | $5 | $1 | 22% | — | $3 – $6 |
| 15 | Highmark fee schedule · outpatient · +5 other terms | 10 | $6 | $6 | — | — | — | $6 – $6 |
| 16 | Ucare fee schedule · both · +3 other terms | 9 | $8 | $8 | $0 | 5% | — | $7 – $8 |
| 17 | Aetna Better Health fee schedule · outpatient · +4 other terms | 8 | $3 | $3 | $1 | 18% | — | $3 – $4 |
| 18 | WellCare facility · other · outpatient · +1 other terms | 6 | $267 | $264 | $113 | 43% | — | $146 – $381 |
| 19 | Tricare facility · other · outpatient · +4 other terms | 5 | $267 | $265 | $113 | 43% | — | $146 – $381 |
| 20 | Bcbs Id fee schedule · outpatient · +3 other terms | 4 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Amerihealth Caritas professional · fee schedule · outpatient · +4 other terms | 3 | $5 | $5 | $0 | 2% | — | $5 – $6 |
| 22 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $0 | $0 | $0 | 6% | — | $0 – $0 |
| 23 | Devoted facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 3 | $6 | $6 | $1 | 9% | — | $5 – $7 |
| 24 | First Health professional · fee schedule · both · +7 other terms | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Oscar facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $307 | $259 | $97 | 37% | — | $66 – $307 |
← Hospitals reporting HCPCS A4212 · Snapshot 20261111T120946Z-9134e7f7