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
Term dev modifier wrist unit
Low
$135
Average
$564
Median
$512
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +10 other terms | 359 | $479 | $554 | $291 | 53% | — | $200 – $3.5k |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 356 | $463 | $467 | $129 | 28% | — | $204 – $1.7k |
| 3 | Humana fee schedule · outpatient · +12 other terms | 317 | $436 | $723 | $849 | 117% | — | $247 – $4.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 218 | $521 | $642 | $352 | 55% | — | $0 – $2.5k |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 208 | $511 | $520 | $93 | 18% | — | $408 – $954 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $436 | $490 | $48 | 10% | — | $417 – $566 |
| 7 | Molina fee schedule · outpatient · +5 other terms | 138 | $738 | $702 | $271 | 39% | — | $298 – $1.4k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $446 | $495 | $39 | 8% | — | $417 – $572 |
| 9 | Cigna fee schedule · outpatient · +8 other terms | 102 | $463 | $528 | $163 | 31% | — | $408 – $1.4k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 80 | $436 | $619 | $632 | 102% | — | $281 – $3.5k |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $445 | $806 | $623 | 77% | — | $419 – $3.8k |
| 12 | Ambetter facility · fee schedule · outpatient · +6 other terms | 46 | $736 | $804 | $151 | 19% | — | $408 – $1.0k |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $547 | $547 | $3 | 0% | — | $511 – $547 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 37 | $479 | $480 | $42 | 9% | — | $417 – $555 |
| 15 | Oscar fee schedule · outpatient · +4 other terms | 36 | $511 | $567 | $148 | 26% | — | $437 – $906 |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $427 | $628 | $309 | 49% | — | $417 – $1.3k |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 28 | $417 | $475 | $144 | 30% | — | $281 – $730 |
| 18 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $453 | $460 | $16 | 4% | — | $432 – $496 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $500 | $490 | $17 | 3% | — | $449 – $500 |
| 20 | Bcbs Tx fee schedule · outpatient | 18 | $511 | $511 | — | — | — | $511 – $511 |
| 21 | Medicare fee schedule · outpatient · +3 other terms | 18 | $419 | $420 | $3 | 1% | — | $419 – $427 |
| 22 | Tricare facility · fee schedule · outpatient · +2 other terms | 16 | $441 | $445 | $23 | 5% | — | $408 – $489 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $472 | $544 | $135 | 25% | — | $257 – $746 |
| 24 | Highmark facility · fee schedule · outpatient · +4 other terms | 14 | $809 | $771 | $321 | 42% | — | $423 – $1.3k |
| 25 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $430 | $429 | $100 | 23% | — | $209 – $503 |
← Hospitals reporting HCPCS L6805 · Snapshot 20261112T181611Z-3fa9fb76