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
Seg pneumatic appli half leg
Low
$5
Average
$240
Median
$222
High
$888
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 3.0× 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 | Humana fee schedule · outpatient · +6 other terms | 247 | $244 | $224 | $86 | 38% | — | $18 – $992 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 236 | $251 | $262 | $170 | 65% | — | $9 – $1.7k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 231 | $251 | $195 | $85 | 44% | — | $11 – $274 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 169 | $260 | $268 | $43 | 16% | — | $243 – $484 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 167 | $254 | $273 | $100 | 37% | — | $0 – $839 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 151 | $248 | $244 | $40 | 17% | — | $25 – $274 |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $260 | $253 | $7 | 3% | — | $248 – $276 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 89 | $322 | $314 | $152 | 48% | — | $22 – $650 |
| 9 | Cigna fee schedule · outpatient · +4 other terms | 69 | $263 | $236 | $126 | 53% | — | $25 – $766 |
| 10 | Superior Healthplan fee schedule · outpatient | 39 | $260 | $260 | — | — | — | $260 – $260 |
| 11 | Anthem fee schedule · outpatient · +6 other terms | 34 | $258 | $200 | $89 | 45% | — | $25 – $266 |
| 12 | Clover fee schedule · outpatient | 32 | $252 | $256 | $13 | 5% | — | $243 – $274 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $229 | $234 | $69 | 29% | — | $172 – $849 |
| 14 | Kaiser fee schedule · outpatient · +3 other terms | 24 | $266 | $192 | $94 | 49% | — | $25 – $266 |
| 15 | Optum fee schedule · outpatient · +1 other terms | 24 | $248 | $218 | $141 | 65% | — | $25 – $620 |
| 16 | Oscar fee schedule · outpatient | 24 | $243 | $250 | $9 | 3% | — | $243 – $260 |
| 17 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 16 | $298 | $296 | $2 | 1% | — | $291 – $298 |
| 18 | Caresource fee schedule · outpatient · +3 other terms | 15 | $248 | $248 | — | — | — | $248 – $248 |
| 19 | Medicare fee schedule · outpatient | 15 | $155 | $155 | $95 | 62% | — | $25 – $256 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $141 | $140 | $115 | 82% | — | $18 – $256 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $229 | $232 | $60 | 26% | — | $116 – $278 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $243 | $525 | $356 | 68% | — | $243 – $1.1k |
| 23 | Highmark fee schedule · outpatient · +3 other terms | 10 | $142 | $147 | $122 | 83% | — | $11 – $583 |
| 24 | Medica fee schedule · outpatient · +4 other terms | 10 | $508 | $486 | $164 | 34% | — | $41 – $655 |
| 25 | Medical Mutual fee schedule · outpatient | 9 | $274 | $274 | $169 | 62% | — | $44 – $445 |
← Hospitals reporting HCPCS E0669 · Snapshot 20261112T181611Z-3fa9fb76