HCPCS Q4052
Low
$170
Average
$170
Median
$170
High
$170
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1 hospital rate
iThe hospitals that file a Cigna 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 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $170 | $170 | — | — | — | $170 – $170 |
← Payers reporting HCPCS Q4052 · Snapshot 20261113T090226Z-3ce6c0b8