Low
$38
Average
$78
Median
$44
High
$152
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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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 2 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $38 | $38 | $3 | 9% | — | $35 – $42 |
| 3 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
← Payers reporting HCPCS G0507 · Snapshot 20261113T090226Z-3ce6c0b8