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HCPCS E0691-RR

Uvl pnl 2 sq ft or less

Payer pricing summary

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Low

$104

Average

$201

Median

$128

High

$583

Payer rate distribution

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Filter by billing methodology

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

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$126	$125	$17	13%	—	$103 – $168
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$128	$128	—	—	—	$128 – $128
3	Humana facility · fee schedule · outpatient	5	$118	$119	$2	1%	—	$118 – $122
4	UnitedHealthcare facility · fee schedule · outpatient	5	$90	$104	$28	27%	—	$90 – $159
5	Aetna facility · fee schedule · outpatient	4	$228	$189	$67	35%	—	$73 – $228
6	WellCare facility · fee schedule · outpatient	4	$128	$128	—	—	—	$128 – $128
7	Cigna facility · fee schedule · outpatient	3	$252	$240	$47	20%	—	$185 – $326
8	Regence facility · fee schedule · outpatient	2	$119	$119	—	—	—	$119 – $119

← Hospitals reporting HCPCS E0691-RR · Snapshot 20261115T194459Z-975ba28a