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Payers and negotiated rates for CPT 78031 | medprice.ai

Calcitonin-salmon Nasal Spray (3.7 Ml)

Payers reporting CPT 78031

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Payer pricing summary

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Low

$46

Average

$108

Median

$114

High

$187

Payer rate distribution

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1	Aetna percent of total billed charges · outpatientfrom % of charges	2	$161	$92	$98	107%	—	$9 – $277
2	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	2	$167	$78	$93	120%	—	$6 – $292
3	Cigna percent of total billed charges · outpatientfrom % of charges	2	$149	$149	$114	77%	—	$8 – $304
4	MultiPlan percent of total billed charges · outpatientfrom % of charges	2	$148	$116	$96	82%	—	$10 – $242
5	Anthem fee schedule · outpatient · +1 other terms	1	$111	$111	—	—	—	$111 – $111
6	Phcs percent of total billed charges · outpatientfrom % of charges	1	$48	$48	$39	81%	—	$9 – $87
7	Superior Healthplan fee schedule · outpatient	1	$46	$46	$38	84%	—	$7 – $96
8	UnitedHealthcare fee schedule · outpatient · +1 other terms	1	$111	$111	—	—	—	$111 – $111
9	WellCare fee schedule · outpatient	1	$114	$114	—	—	—	$114 – $114

← Hospitals reporting CPT 78031 · Snapshot 20261111T120946Z-9134e7f7