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Payers and negotiated rates for CPT 71305 | medprice.ai

Promethazine Supp 12.5 Mg

Payers reporting CPT 71305

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Payer pricing summary

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Low

$3

Average

$13

Median

$12

High

$27

Payer rate distribution

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1	Aetna percent of total billed charges · outpatientfrom % of charges	4	$14	$15	$11	72%	—	$5 – $36
2	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	2	$17	$20	$11	58%	—	$5 – $31
3	Cigna percent of total billed charges · outpatientfrom % of charges	2	$13	$12	$2	19%	—	$9 – $14
4	Humana fee schedule · outpatient	2	$15	$11	$11	98%	—	$3 – $27
5	Anthem fee schedule · outpatient · +1 other terms	1	$5	$5	—	—	—	$5 – $5
6	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	1	$13	$13	—	—	—	$13 – $13
7	First Health percent of total billed charges · outpatientfrom % of charges	1	$3	$3	—	—	—	$3 – $3
8	MultiPlan fee schedule · outpatient · +1 other terms	1	$27	$27	—	—	—	$27 – $27
9	Superior Healthplan fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27
10	UnitedHealthcare fee schedule · outpatient · +1 other terms	1	$5	$5	—	—	—	$5 – $5
11	WellCare fee schedule · outpatient	1	$5	$5	—	—	—	$5 – $5

← Hospitals reporting CPT 71305 · Snapshot 20261111T120946Z-9134e7f7