Low
$14
Average
$14
Median
$14
High
$14
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1 hospital rate
iThe hospitals that file a Excellus 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 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting HCPCS G9876 · Snapshot 20261112T181611Z-3fa9fb76