HCPCS G0394
Low
$7
Average
$11
Median
$13
High
$13
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3 hospital rates
iThe hospitals that file a Cigna 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 | Texas Health Hospital Mansfield Mansfield, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Texas Health Huguley Hospital Fort Worth South Burleson, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 3 | UPMC Cole Coudersport, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
← Payers reporting HCPCS G0394 · Snapshot 20261113T090226Z-3ce6c0b8