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 upr extr
Low
$15
Average
$41
Median
$36
High
$97
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.1× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +7 other terms | 343 | $35 | $39 | $19 | 48% | — | $20 – $229 |
| 2 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 335 | $35 | $35 | $7 | 22% | — | $20 – $114 |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $34 | $36 | $13 | 35% | — | $16 – $138 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $36 | $36 | $6 | 15% | — | $33 – $67 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $35 | $43 | $17 | 39% | — | $0 – $161 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $34 | $35 | $1 | 2% | — | $34 – $37 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $51 | $48 | $18 | 37% | — | $26 – $90 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $35 | $35 | $1 | 3% | — | $34 – $37 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $36 | $40 | $11 | 29% | — | $34 – $100 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $34 | $48 | $48 | 99% | — | $34 – $259 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $35 | $56 | $42 | 75% | — | $34 – $256 |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $36 | $35 | $1 | 3% | — | $34 – $36 |
| 13 | Ambetter facility · fee schedule · outpatient · +5 other terms | 40 | $58 | $63 | $15 | 24% | — | $34 – $86 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $36 | $36 | $0 | 1% | — | $34 – $36 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $35 | $41 | $8 | 21% | — | $34 – $53 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $36 | $40 | $8 | 21% | — | $34 – $59 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $34 | $45 | $18 | 40% | — | $33 – $86 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $36 | $37 | $11 | 30% | — | $28 – $137 |
| 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 | $41 | $40 | $2 | 5% | — | $35 – $41 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $36 | $35 | $2 | 6% | — | $29 – $37 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $34 | $40 | $10 | 25% | — | $19 – $54 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $34 | $33 | $2 | 5% | — | $31 – $34 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $30 | $30 | $0 | 0% | — | $29 – $30 |
| 25 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $16 | $24 | $8 | 36% | — | $16 – $34 |
← Hospitals reporting HCPCS A6595 · Snapshot 20261112T124536Z-e251e855