HCPCS E2624-NU
Low
$395
Average
$395
Median
$395
High
$395
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4 hospital rates
iThe hospitals that file a WellCare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 2 | $395 | $395 | — | — | — | $395 – $395 |
| 2 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 2 | $395 | $395 | — | — | — | $395 – $395 |
| 3 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 2 | $395 | $395 | — | — | — | $395 – $395 |
| 4 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 2 | $395 | $395 | — | — | — | $395 – $395 |
← Payers reporting HCPCS E2624-NU · Snapshot 20261115T194459Z-975ba28a