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HCPCS E0655-UE

Pneumatic appliance half arm

Payer pricing summary

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Low

$99

Average

$128

Median

$112

High

$207

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 8 Per diem 0 Percent of billed charges 0 Other 0

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$113	$111	$10	9%	—	$93 – $129
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$116	$116	—	—	—	$116 – $116
3	Humana facility · fee schedule · outpatient	5	$106	$107	$1	1%	—	$106 – $110
4	Aetna facility · fee schedule · outpatient	4	$205	$168	$65	39%	—	$56 – $205
5	UnitedHealthcare facility · fee schedule · outpatient	4	$101	$101	—	—	—	$101 – $101
6	WellCare facility · fee schedule · outpatient	4	$116	$116	—	—	—	$116 – $116
7	Cigna facility · fee schedule · outpatient	3	$217	$207	$41	20%	—	$159 – $281
8	Regence facility · fee schedule · outpatient	2	$108	$108	—	—	—	$108 – $108

← Hospitals reporting HCPCS E0655-UE · Snapshot 20261115T194459Z-975ba28a