Low
$28
Average
$28
Median
$28
High
$28
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1 hospital rate
iThe hospitals that file a Devoted 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $28 | $28 | $3 | 11% | — | $26 – $34 |
← Payers reporting HCPCS L4002 · Snapshot 20261111T120946Z-9134e7f7