HCPCS L1855
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
PR KO PLAS DOUB UPRIGHT JNT MOL
Low
$1
Average
$36
Median
$3
High
$297
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · percent of total billed charges · bothfrom % of charges | 3 | $2 | $2 | $0 | 18% | — | $2 – $3 |
| 2 | Anthem facility · fee schedule · outpatient · +2 other terms | 3 | $941 | $1.4k | $654 | 47% | — | $941 – $2.3k |
| 3 | Blue Cross Blue Shield facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 6% | — | $1 – $1 |
| 4 | Carefirst facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 5 | Caresource facility · percent of total billed charges · bothfrom % of charges | 3 | $2 | $2 | $0 | 2% | — | $2 – $2 |
| 6 | Cigna facility · percent of total billed charges · bothfrom % of charges | 3 | $3 | $3 | $0 | 4% | — | $3 – $3 |
| 7 | Excellus facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 8 | First Health facility · percent of total billed charges · bothfrom % of charges | 3 | $3 | $3 | $0 | 8% | — | $3 – $3 |
| 9 | Highmark facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 10 | Humana facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $3 | $3 | $0 | 8% | — | $3 – $3 |
| 11 | Kaiser facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 12 | Medcost facility · percent of total billed charges · bothfrom % of charges | 3 | $3 | $3 | $0 | 8% | — | $3 – $3 |
| 13 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges | 3 | $3 | $3 | $0 | 8% | — | $3 – $3 |
| 14 | MultiPlan facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 15 | Phcs facility · percent of total billed charges · bothfrom % of charges | 3 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 16 | Premera facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 17 | Regence facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 18 | UnitedHealthcare facility · percent of total billed charges · bothfrom % of charges | 3 | $3 | $3 | $0 | 12% | — | $3 – $4 |
| 19 | Wellmark facility · percent of total billed charges · bothfrom % of charges | 3 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 20 | Magellan facility · percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Hospitals reporting HCPCS L1855 · Snapshot 20261113T090226Z-3ce6c0b8