Low
$490
Average
$490
Median
$490
High
$490
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2 hospital rates
iThe hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $490 | $490 | — | — | — | $490 – $490 |
| 2 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 4 | $490 | $490 | — | — | — | $490 – $490 |
← Payers reporting HCPCS A6504 · Snapshot 20261111T120946Z-9134e7f7