Low
$651
Average
$651
Median
$651
High
$651
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2 hospital rates
iThe hospitals that file a Phcs 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 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $651 | $651 | — | — | — | $651 – $651 |
| 2 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $651 | $651 | — | — | — | $651 – $651 |
← Payers reporting HCPCS L0629 · Snapshot 20261113T090226Z-3ce6c0b8