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HCPCS E2120-RR

Pulse gen sys tx endolymp fl

Payer pricing summary

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Low

$284

Average

$449

Median

$400

High

$757

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	$396	$395	$53	13%	—	$325 – $531
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$404	$404	—	—	—	$404 – $404
3	Humana facility · fee schedule · outpatient	5	$372	$374	$5	1%	—	$372 – $384
4	Aetna facility · fee schedule · outpatient	4	$718	$596	$211	35%	—	$230 – $718
5	UnitedHealthcare facility · fee schedule · outpatient	4	$284	$284	—	—	—	$284 – $284
6	WellCare facility · fee schedule · outpatient	4	$404	$404	—	—	—	$404 – $404
7	Cigna facility · fee schedule · outpatient	3	$795	$757	$149	20%	—	$584 – $1.0k
8	Regence facility · fee schedule · outpatient	2	$377	$377	—	—	—	$377 – $377

← Hospitals reporting HCPCS E2120-RR · Snapshot 20261115T194459Z-975ba28a