Low
$14
Average
$14
Median
$14
High
$14
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1 hospital rate
iThe hospitals that file a Ucare 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 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting HCPCS D9420 · Snapshot 20261111T120946Z-9134e7f7