HCPCS T2028
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
Special supply- nos waiver
Low
$0
Average
$16
Median
$11
High
$91
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 2 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 3 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 5 | Cigna facility · fee schedule · outpatient · +4 other terms | 12 | $1 | $1 | $0 | 26% | — | $0 – $1 |
| 6 | Optum facility · case rate · outpatient | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Humana facility · other · outpatient · +2 other terms | 2 | $23 | $23 | $3 | 15% | — | $19 – $26 |
| 9 | Aetna facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Medcost facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 12 | Tricare facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Hospitals reporting HCPCS T2028 · Snapshot 20261113T090226Z-3ce6c0b8