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
Uvl sys panel 4 ft
Low
$31
Average
$1.5k
Median
$1.3k
High
$3.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 3.1× 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 | $1.6k | $1.4k | $549 | 38% | — | $108 – $6.4k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 236 | $1.6k | $1.7k | $1.1k | 64% | — | $59 – $10.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 232 | $1.6k | $1.2k | $543 | 44% | — | $67 – $1.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 178 | $1.6k | $1.8k | $625 | 36% | — | $0 – $5.2k |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 169 | $1.7k | $1.7k | $281 | 16% | — | $1.6k – $3.1k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 151 | $1.6k | $1.6k | $258 | 17% | — | $154 – $1.7k |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $1.6k | $1.6k | $45 | 3% | — | $1.6k – $1.7k |
| 8 | Molina fee schedule · outpatient · +3 other terms | 89 | $2.0k | $2.0k | $983 | 49% | — | $134 – $4.2k |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 69 | $1.7k | $1.5k | $812 | 54% | — | $154 – $4.7k |
| 10 | Superior Healthplan fee schedule · outpatient | 39 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 34 | $1.6k | $1.2k | $557 | 45% | — | $154 – $1.7k |
| 12 | Clover fee schedule · outpatient | 32 | $1.6k | $1.6k | $54 | 3% | — | $1.6k – $1.7k |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $1.5k | $1.5k | $446 | 29% | — | $1.1k – $5.5k |
| 14 | Kaiser fee schedule · outpatient · +3 other terms | 24 | $1.6k | $1.2k | $578 | 49% | — | $154 – $1.6k |
| 15 | Optum fee schedule · outpatient · +1 other terms | 24 | $1.6k | $1.4k | $912 | 67% | — | $154 – $4.0k |
| 16 | Oscar fee schedule · outpatient | 24 | $1.6k | $1.6k | $55 | 3% | — | $1.6k – $1.7k |
| 17 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 16 | $1.9k | $1.9k | $38 | 2% | — | $1.8k – $1.9k |
| 18 | Caresource fee schedule · outpatient · +3 other terms | 15 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | Medicare fee schedule · outpatient | 15 | $953 | $954 | $587 | 62% | — | $154 – $1.6k |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $824 | $819 | $671 | 82% | — | $115 – $1.5k |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1.4k | $1.4k | $370 | 26% | — | $712 – $1.7k |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $1.6k | $3.4k | $2.3k | 68% | — | $1.6k – $7.0k |
| 23 | Highmark fee schedule · outpatient · +3 other terms | 10 | $995 | $1.0k | $813 | 79% | — | $74 – $3.8k |
| 24 | Medica fee schedule · outpatient · +4 other terms | 10 | $3.1k | $3.0k | $1.0k | 34% | — | $253 – $4.0k |
| 25 | Medical Mutual fee schedule · outpatient | 9 | $1.8k | $1.8k | $1.1k | 62% | — | $288 – $2.9k |
← Hospitals reporting HCPCS E0692 · Snapshot 20261112T181611Z-3fa9fb76