HCPCS K0642
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LSO flexion control prefab
Low
$66
Average
$156
Median
$178
High
$205
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 3.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 2 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 3 | Caresource fee schedule · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 4 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 5 | Medicaid percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 6 | Medicare fee schedule · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 7 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 8 | WellCare percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
← Hospitals reporting HCPCS K0642 · Snapshot 20261113T090226Z-3ce6c0b8