Low
$12
Average
$51
Median
$36
High
$118
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · case rate · outpatient · +1 other terms | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Excellus facility · case rate · outpatient · +1 other terms | 1 | $34 | $34 | $22 | 64% | — | $12 – $56 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 1 | $144 | $144 | $131 | 91% | — | $13 – $275 |
| 4 | WellCare facility · case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Hospitals reporting HCPCS G0283-GP · Snapshot 20261111T120946Z-9134e7f7