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.
Original text from hospital filings
CATH EXT ADHERE ACTV M 28MM
Low
$2
Average
$13
Median
$5
High
$46
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 16.5× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +15 other terms | 311 | $3 | $5 | $20 | 393% | — | $1 – $493 |
| 2 | UnitedHealthcare fee schedule · outpatient · +19 other terms | 297 | $3 | $3 | $2 | 66% | — | $1 – $32 |
| 3 | Aetna fee schedule · outpatient · +16 other terms | 273 | $3 | $3 | $2 | 49% | — | $1 – $18 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 190 | $3 | $4 | $17 | 419% | — | $0 – $493 |
| 5 | WellCare fee schedule · outpatient · +7 other terms | 186 | $3 | $3 | $0 | 16% | — | $3 – $6 |
| 6 | Devoted fee schedule · outpatient · +5 other terms | 163 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 7 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 8 | Molina fee schedule · outpatient · +10 other terms | 97 | $4 | $4 | $2 | 39% | — | $2 – $8 |
| 9 | Cigna fee schedule · outpatient · +14 other terms | 83 | $3 | $3 | $1 | 32% | — | $1 – $7 |
| 10 | Anthem fee schedule · outpatient · +14 other terms | 75 | $3 | $3 | $0 | 8% | — | $3 – $5 |
| 11 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $3 | $3 | $0 | 0% | — | $3 – $3 |
| 12 | Kaiser fee schedule · outpatient · +9 other terms | 39 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 13 | Clover fee schedule · outpatient · +1 other terms | 37 | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 14 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $3 | $3 | $1 | 30% | — | $2 – $10 |
| 15 | Optum fee schedule · outpatient · +4 other terms | 25 | $3 | $3 | $1 | 42% | — | $3 – $7 |
| 16 | Oscar fee schedule · outpatient · +5 other terms | 24 | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 17 | Caresource facility · case rate · outpatient · +6 other terms | 20 | $15 | $13 | $6 | 49% | — | $3 – $27 |
| 18 | Medicare fee schedule · outpatient · +3 other terms | 18 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 16 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 20 | Medcost facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 14 | $2 | $38 | $321 | 851% | — | $1 – $2.9k |
| 21 | Aetna Better Health fee schedule · outpatient · +4 other terms | 13 | $1 | $2 | $1 | 36% | — | $1 – $3 |
| 22 | Wellmark fee schedule · both · +6 other terms | 13 | $3 | $3 | $0 | 3% | — | $2 – $3 |
| 23 | Ambetter case rate · outpatient · +7 other terms | 12 | $4 | $4 | $0 | 4% | — | $4 – $5 |
| 24 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $2 | $2 | $1 | 61% | — | $0 – $3 |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $2 | $4 | $4 | 94% | — | $1 – $12 |
← Hospitals reporting HCPCS A4349 · Snapshot 20261111T120946Z-9134e7f7