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
G comp bandge liner lwr extr
Low
$15
Average
$43
Median
$37
High
$99
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.0× 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 | Aetna fee schedule · outpatient · +9 other terms | 343 | $35 | $40 | $19 | 48% | — | $20 – $233 |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 335 | $35 | $35 | $8 | 22% | — | $21 – $116 |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $35 | $37 | $13 | 35% | — | $16 – $140 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $36 | $37 | $6 | 15% | — | $34 – $68 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $36 | $44 | $17 | 39% | — | $0 – $164 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $35 | $35 | $1 | 2% | — | $34 – $38 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $52 | $49 | $18 | 37% | — | $26 – $92 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $36 | $36 | $1 | 3% | — | $35 – $38 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $36 | $40 | $11 | 28% | — | $34 – $101 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $34 | $49 | $48 | 99% | — | $34 – $263 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $36 | $57 | $42 | 75% | — | $34 – $261 |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $36 | $36 | $1 | 3% | — | $34 – $37 |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $37 | $37 | $0 | 1% | — | $34 – $37 |
| 14 | Ambetter facility · fee schedule · outpatient · +5 other terms | 38 | $61 | $65 | $15 | 23% | — | $34 – $87 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $35 | $42 | $9 | 21% | — | $35 – $54 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $37 | $40 | $9 | 21% | — | $34 – $60 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $35 | $46 | $18 | 40% | — | $34 – $88 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $37 | $38 | $11 | 30% | — | $28 – $139 |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $34 | $34 | $0 | 0% | — | $34 – $34 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $42 | $41 | $2 | 5% | — | $36 – $42 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $36 | $36 | $2 | 6% | — | $29 – $37 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $35 | $40 | $10 | 25% | — | $19 – $55 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $35 | $33 | $2 | 5% | — | $31 – $35 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $31 | $31 | $0 | 0% | — | $30 – $31 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $17 | $24 | $9 | 36% | — | $17 – $34 |
← Hospitals reporting HCPCS A6594 · Snapshot 20261112T124536Z-e251e855