HCPCS C9457
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.
Generation details were not recorded for this description.
Original text from hospital filings
Lumason contrast agent
Low
$30
Average
$57
Median
$32
High
$136
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
7 payers; the 90th percentile is 3.4× 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 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 16 | $51 | $64 | $29 | 44% | — | $39 – $132 |
| 2 | Highmark facility · fee schedule · outpatient | 3 | $31 | $32 | $1 | 4% | — | $31 – $35 |
| 3 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Anthem fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 5 | Bcbs Id professional · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 6 | Cigna fee schedule · both · +1 other terms | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Molina facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
← Hospitals reporting HCPCS C9457 · Snapshot 20261113T090226Z-3ce6c0b8