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HCPCS E2627-RR

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Payer pricing summary

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Low

$107

Average

$202

Median

$132

High

$539

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 7 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	$113	$118	$28	24%	—	$94 – $199
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$116	$116	—	—	—	$116 – $116
3	Humana facility · fee schedule · outpatient	5	$107	$107	$1	1%	—	$107 – $110
4	Aetna facility · fee schedule · outpatient	4	$218	$180	$66	37%	—	$65 – $218
5	WellCare facility · fee schedule · outpatient	4	$116	$116	—	—	—	$116 – $116
6	Cigna facility · fee schedule · outpatient	3	$232	$221	$44	20%	—	$171 – $300
7	Regence facility · fee schedule · outpatient	2	$132	$132	—	—	—	$132 – $132

← Hospitals reporting HCPCS E2627-RR · Snapshot 20261115T194459Z-975ba28a