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Payers and negotiated rates for CPT 0128U | medprice.ai

CPT 0128U

Fee Schedule

Payer pricing summary

i

Low

$1

Average

$1.2k

Median

$60

High

$17.5k

Payer rate distribution

i

Filter by billing methodology

All methodologies Case rate 10 Fee schedule 13 Per diem 1 Percent of billed charges 0 Other 2

Filter by billing class

i

#
1	Cigna fee schedule · outpatient · +3 other terms	32	$103	$89	$34	39%	—	$56 – $156
2	Anthem fee schedule · outpatient · +5 other terms	17	$28	$28	—	—	—	$28 – $28
3	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	17	$59	$56	$40	71%	—	$28 – $118
4	Humana facility · fee schedule · outpatient · +2 other terms	13	$183	$1.5k	$8.1k	536%	—	$31 – $50k
5	Wellmark fee schedule · both · +1 other terms	13	$58	$58	—	—	—	$58 – $58
6	Aetna fee schedule · outpatient · +3 other terms	12	$56	$56	—	—	—	$56 – $56
7	Molina facility · case rate · outpatient · +3 other terms	11	$28	$34	$9	27%	—	$28 – $53
8	Highmark fee schedule · outpatient · +2 other terms	10	$130	$130	—	—	—	$130 – $130
9	Aetna Better Health facility · case rate · outpatient	7	$28	$28	$1	2%	—	$27 – $28
10	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$26	$26	$1	3%	—	$26 – $28

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← Hospitals reporting CPT 0128U · Snapshot 20261113T090226Z-3ce6c0b8