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  4. /CPT 75803
CPT 75803

IR LYMPHANGIOGRAM ETREM ONLY BILA at Childrens Hospital of Los Angeles

Angeles, CA

Pricing by billing methodology

Price type

All methodologies

$57

Aggregated across all available billing methodologies for this code.

Case rate

$72

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$81

Reflects negotiated fee schedule rates with commercial payers.

Per diem

$42

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$49

Reflects a negotiated percentage of total billed charges.

Other

$81

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Apr 10, 2026

Compare to other hospitals

See IR LYMPHANGIOGRAM ETREM ONLY BILA pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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