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
Friction dampening arm supp
Low
$26
Average
$1.1k
Median
$1.1k
High
$3.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.6× 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 | Humana fee schedule · outpatient · +5 other terms | 266 | $1.2k | $1.0k | $423 | 41% | — | $88 – $4.7k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $1.2k | $1.3k | $922 | 74% | — | $51 – $9.0k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 257 | $1.2k | $897 | $447 | 50% | — | $55 – $1.6k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 192 | $1.2k | $1.3k | $538 | 41% | — | $0 – $3.7k |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 185 | $1.2k | $1.3k | $211 | 17% | — | $1.1k – $2.3k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $1.2k | $1.1k | $253 | 23% | — | $109 – $1.5k |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $1.2k | $1.2k | $50 | 4% | — | $1.1k – $1.4k |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $1.4k | $1.3k | $735 | 55% | — | $95 – $3.3k |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $1.2k | $1.1k | $681 | 65% | — | $109 – $3.4k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $1.2k | $1.2k | $15 | 1% | — | $1.2k – $1.3k |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $1.1k | $801 | $429 | 53% | — | $109 – $1.3k |
| 12 | Clover fee schedule · outpatient | 34 | $1.2k | $1.2k | $62 | 5% | — | $1.2k – $1.4k |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $1.1k | $1.2k | $344 | 29% | — | $871 – $4.3k |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $1.2k | $879 | $595 | 68% | — | $109 – $2.9k |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 27 | $1.2k | $764 | $421 | 55% | — | $109 – $1.2k |
| 16 | Oscar fee schedule · outpatient | 24 | $1.2k | $1.2k | $39 | 3% | — | $1.2k – $1.2k |
| 17 | Medicare fee schedule · outpatient | 18 | $675 | $677 | $416 | 62% | — | $109 – $1.1k |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $1.4k | $1.4k | $55 | 4% | — | $1.3k – $1.6k |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $633 | $628 | $515 | 82% | — | $87 – $1.2k |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1.1k | $1.1k | $296 | 26% | — | $567 – $1.4k |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $1.2k | $2.5k | $1.7k | 68% | — | $1.2k – $5.1k |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $388 | $608 | $695 | 114% | — | $388 – $2.8k |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $772 | $801 | $657 | 82% | — | $55 – $3.2k |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $2.2k | $2.1k | $719 | 34% | — | $183 – $2.9k |
← Hospitals reporting HCPCS E2629 · Snapshot 20261112T181611Z-3fa9fb76