HCPCS E1804-RR
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
Adjust elbow flexion dev
Low
$162
Average
$209
Median
$175
High
$291
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
6 payers; the 90th percentile is 1.7× 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 | Blue Cross Blue Shield facility · fee schedule · outpatient | 5 | $175 | $175 | — | — | — | $175 – $175 |
| 2 | Humana facility · fee schedule · outpatient | 5 | $161 | $162 | $2 | 1% | — | $161 – $166 |
| 3 | Aetna facility · fee schedule · outpatient | 4 | $354 | $291 | $109 | 38% | — | $102 – $354 |
| 4 | Anthem fee schedule · outpatient · +1 other terms | 4 | $171 | $171 | — | — | — | $171 – $171 |
| 5 | WellCare facility · fee schedule · outpatient | 4 | $175 | $175 | — | — | — | $175 – $175 |
| 6 | Cigna facility · fee schedule · outpatient | 3 | $292 | $278 | $55 | 20% | — | $214 – $377 |
← Hospitals reporting HCPCS E1804-RR · Snapshot 20261115T194459Z-975ba28a