Low
$0
Average
$0
Median
$0
High
$0
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3 hospital rates
iThe hospitals that file a Aetna 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 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Lubbock Heritage Hospital LLC Lubbock, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS G8495 · Snapshot 20261113T090226Z-3ce6c0b8