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HCPCS K0195-RR

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Payer pricing summary

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Low

$12

Average

$18

Median

$18

High

$25

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 8 Per diem 0 Percent of billed charges 0 Other 0

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$13	$15	$8	54%	—	$11 – $39
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$13	$13	—	—	—	$13 – $13
3	Humana facility · fee schedule · outpatient	5	$12	$12	$0	1%	—	$12 – $13
4	UnitedHealthcare facility · fee schedule · outpatient	5	$17	$21	$8	38%	—	$17 – $37
5	Aetna facility · fee schedule · outpatient	4	$29	$24	$10	40%	—	$7 – $29
6	WellCare facility · fee schedule · outpatient	4	$13	$13	—	—	—	$13 – $13
7	Cigna facility · fee schedule · outpatient	3	$27	$25	$5	20%	—	$20 – $34
8	Regence facility · fee schedule · outpatient	2	$24	$24	—	—	—	$24 – $24

← Hospitals reporting HCPCS K0195-RR · Snapshot 20261115T194459Z-975ba28a