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Payers and negotiated rates for CPT 1016T | medprice.ai

CPT 1016T

Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of waveform, battery status, electrode selectability, output modulation,

Payer pricing summary

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Low

$86

Average

$4.3k

Median

$129

High

$35k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 12 Fee schedule 10 Per diem 0 Percent of billed charges 1 Other 6

Filter by billing class

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	28	$120	$123	$51	41%	—	$49 – $224
2	Molina facility · case rate · outpatient · +3 other terms	22	$92	$96	$16	17%	—	$79 – $142
3	UnitedHealthcare facility · case rate · outpatient · +3 other terms	15	$87	$95	$20	21%	—	$76 – $145
4	Anthem facility · case rate · outpatient · +2 other terms	14	$86	$94	$20	21%	—	$79 – $142
5	Caresource facility · case rate · outpatient · +1 other terms	14	$87	$94	$20	21%	—	$77 – $145
6	Optum facility · case rate · outpatient	13	$81	$86	$18	21%	—	$71 – $129
7	Aetna Better Health facility · case rate · outpatient · +1 other terms	6	$104	$104	—	—	—	$104 – $104
8	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$96	$96	—	—	—	$96 – $96
9	Humana facility · case rate · outpatient · +4 other terms	5	$87	$90	$4	5%	—	$87 – $96
10	Aetna fee schedule · outpatient · +1 other terms	4	$186	$186	$1	0%	—	$186 – $187

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