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Payers and negotiated rates for CPT 40931 | medprice.ai

Lidocaine/ Epi 2% Inj(xylocaine/ W Epi)

Payers reporting CPT 40931

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Payer pricing summary

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Low

$11

Average

$110

Median

$27

High

$895

Payer rate distribution

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1	Aetna percent of total billed charges · outpatientfrom % of charges	4	$48	$43	$19	46%	—	$11 – $64
2	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	2	$32	$27	$9	32%	—	$22 – $42
3	Cigna percent of total billed charges · outpatientfrom % of charges	2	$51	$49	$9	18%	—	$37 – $56
4	Anthem fee schedule · outpatient · +1 other terms	1	$20	$20	—	—	—	$20 – $20
5	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	1	$53	$53	—	—	—	$53 – $53
6	First Health percent of total billed charges · outpatientfrom % of charges	1	$11	$11	—	—	—	$11 – $11
7	Humana fee schedule · outpatient	1	$23	$23	—	—	—	$23 – $23
8	MultiPlan percent of total billed charges · outpatientfrom % of charges	1	$44	$44	—	—	—	$44 – $44
9	Superior Healthplan fee schedule · outpatient · +1 other terms	1	$17	$17	—	—	—	$17 – $17
10	UnitedHealthcare fee schedule · outpatient · +2 other terms	1	$20	$20	—	—	—	$20 – $20
11	WellCare fee schedule · outpatient	1	$21	$21	—	—	—	$21 – $21

← Hospitals reporting CPT 40931 · Snapshot 20261110T202143Z-6f619f9d