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Payers and negotiated rates for CPT 71301 | medprice.ai

Prochlorperazine (Compazine) 25mg Supp

Payers reporting CPT 71301

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Payer pricing summary

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Low

$2

Average

$23

Median

$19

High

$92

Payer rate distribution

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1	Cigna percent of total billed charges · outpatientfrom % of charges	6	$19	$24	$16	66%	—	$2 – $41
2	Aetna percent of total billed charges · outpatientfrom % of charges	5	$30	$29	$24	85%	—	$2 – $69
3	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	3	$32	$22	$22	100%	—	$3 – $72
4	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	2	$2	$2	$0	28%	—	$1 – $2
5	MultiPlan percent of total billed charges · outpatientfrom % of charges	2	$20	$18	$12	63%	—	$5 – $32
6	Anthem fee schedule · outpatient · +1 other terms	1	$12	$12	$2	17%	—	$10 – $14
7	First Health percent of total billed charges · outpatientfrom % of charges	1	$8	$8	—	—	—	$8 – $8
8	Humana percent of total billed charges · outpatientfrom % of charges	1	$92	$92	$3	3%	—	$89 – $94
9	Phcs percent of total billed charges · outpatientfrom % of charges	1	$12	$12	$10	83%	—	$5 – $26
10	Superior Healthplan fee schedule · outpatient	1	$11	$11	$10	88%	—	$4 – $29
11	UnitedHealthcare fee schedule · outpatient · +1 other terms	1	$12	$12	$2	17%	—	$10 – $14
12	WellCare fee schedule · outpatient	1	$13	$13	$3	20%	—	$10 – $15

← Hospitals reporting CPT 71301 · Snapshot 20261111T120946Z-9134e7f7