HCPCS L4380

Fee Schedule

Payer pricing summary

Low

$151

Average

$505

Median

$302

High

$1.3k

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	8	$461	$409	$96	23%	—	$202 – $492
2	Anthem facility · fee schedule · outpatient · +1 other terms	3	$76	$146	$60	41%	—	$76 – $210
3	Aetna professional · fee schedule · outpatient	2	$904	$1.3k	$623	49%	—	$184 – $1.6k
4	Kaiser fee schedule · both	2	$182	$182	—	—	—	$182 – $182

← Hospitals reporting HCPCS L4380 · Snapshot 20261113T090226Z-3ce6c0b8

HCPCS L4380

Low

$151

Average

$505

Median

$302

High

$1.3k

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	8	$461	$409	$96	23%	—	$202 – $492
2	Anthem facility · fee schedule · outpatient · +1 other terms	3	$76	$146	$60	41%	—	$76 – $210
3	Aetna professional · fee schedule · outpatient	2	$904	$1.3k	$623	49%	—	$184 – $1.6k
4	Kaiser fee schedule · both	2	$182	$182	—	—	—	$182 – $182

← Hospitals reporting HCPCS L4380 · Snapshot 20261113T090226Z-3ce6c0b8