HCPCS L3651

Fee Schedule

Payer pricing summary

Low

$74

Average

$124

Median

$80

High

$219

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	8	$239	$212	$50	23%	—	$105 – $256
2	Anthem facility · fee schedule · outpatient · +1 other terms	3	$44	$66	$31	47%	—	$44 – $110
3	Kaiser fee schedule · both	2	$80	$80	—	—	—	$80 – $80

← Hospitals reporting HCPCS L3651 · Snapshot 20261113T090226Z-3ce6c0b8

HCPCS L3651

Low

$74

Average

$124

Median

$80

High

$219

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	8	$239	$212	$50	23%	—	$105 – $256
2	Anthem facility · fee schedule · outpatient · +1 other terms	3	$44	$66	$31	47%	—	$44 – $110
3	Kaiser fee schedule · both	2	$80	$80	—	—	—	$80 – $80

← Hospitals reporting HCPCS L3651 · Snapshot 20261113T090226Z-3ce6c0b8