Low
$13
Average
$18
Median
$19
High
$21
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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 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | The Cleveland Clinic Foundation Brunswick, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 3 | University of Vermont Medical Center Inc Colchester, VT professional · fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
← Payers reporting HCPCS G9106 · Snapshot 20261112T181611Z-3fa9fb76