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HCPCS E2629-RR

Friction dampening arm supp

Payer pricing summary

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Low

$106

Average

$198

Median

$126

High

$533

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 7 Per diem 0 Percent of billed charges 0 Other 0

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$119	$121	$25	21%	—	$92 – $190
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$114	$114	—	—	—	$114 – $114
3	Humana facility · fee schedule · outpatient	5	$105	$106	$1	1%	—	$105 – $109
4	Aetna facility · fee schedule · outpatient	4	$212	$176	$62	35%	—	$69 – $212
5	WellCare facility · fee schedule · outpatient	4	$114	$114	—	—	—	$114 – $114
6	Cigna facility · fee schedule · outpatient	3	$229	$218	$43	20%	—	$168 – $296
7	Regence facility · fee schedule · outpatient	2	$126	$126	—	—	—	$126 – $126

← Hospitals reporting HCPCS E2629-RR · Snapshot 20261115T194459Z-975ba28a