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
HB-Leuko Tape, per 18 Sq Inches
Low
$0
Average
$28
Median
$2
High
$324
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 897.7× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +12 other terms | 256 | $0 | $0 | $0 | 112% | — | $0 – $1 |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 235 | $0 | $0 | $0 | 73% | — | $0 – $1 |
| 3 | Aetna fee schedule · outpatient · +14 other terms | 230 | $0 | $1 | $6 | 1025% | — | $0 – $79 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +14 other terms | 181 | $0 | $0 | $0 | 157% | — | $0 – $2 |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 170 | $0 | $0 | $0 | 64% | — | $0 – $1 |
| 6 | Devoted fee schedule · outpatient · +5 other terms | 151 | $0 | $0 | $0 | 10% | — | $0 – $0 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 104 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Molina fee schedule · outpatient · +8 other terms | 91 | $0 | $0 | $0 | 36% | — | $0 – $0 |
| 9 | Cigna fee schedule · outpatient · +14 other terms | 61 | $0 | $0 | $0 | 38% | — | $0 – $0 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $0 | $0 | $0 | 267% | — | $0 – $5 |
| 11 | Anthem fee schedule · outpatient · +10 other terms | 35 | $0 | $0 | $0 | 133% | — | $0 – $1 |
| 12 | Clover fee schedule · outpatient | 32 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $0 | $0 | $0 | 31% | — | $0 – $1 |
| 14 | Kaiser fee schedule · outpatient · +4 other terms | 24 | $0 | $0 | $0 | 18% | — | $0 – $0 |
| 15 | Optum fee schedule · outpatient · +6 other terms | 24 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 16 | Oscar fee schedule · outpatient · +2 other terms | 24 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Amerihealth Caritas fee schedule · outpatient · +5 other terms | 16 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Caresource fee schedule · outpatient · +5 other terms | 15 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Medicare fee schedule · outpatient · +2 other terms | 15 | $0 | $0 | $0 | 17% | — | $0 – $0 |
| 20 | Wellmark fee schedule · both · +3 other terms | 13 | $0 | $0 | $0 | 43% | — | $0 – $1 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $0 | $0 | $0 | 115% | — | $0 – $1 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $0 | $0 | $0 | 68% | — | $0 – $0 |
| 23 | Medica fee schedule · outpatient · +6 other terms | 12 | $0 | $0 | $0 | 32% | — | $0 – $0 |
| 24 | Highmark fee schedule · outpatient · +5 other terms | 10 | $0 | $0 | $0 | 42% | — | $0 – $0 |
| 25 | Medical Mutual fee schedule · outpatient | 9 | $0 | $0 | $0 | 19% | — | $0 – $0 |
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