Low
$205
Average
$205
Median
$205
High
$205
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1 hospital rate
iThe hospitals that file a Bcbs Ny 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 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
← Payers reporting HCPCS D9999 · Snapshot 20261111T120946Z-9134e7f7