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Payers and negotiated rates for CPT 84521 | medprice.ai

CPT 84521

Plasminogen Antigen (LC)

Payer pricing summary

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Low

$8

Average

$70

Median

$52

High

$262

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 6 Per diem 1 Percent of billed charges 7 Other 2

Filter by billing class

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#
1	Cigna facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	7	$30	$61	$94	154%	—	$16 – $326
2	Devoted facility · fee schedule · outpatient	7	$15	$52	$89	170%	—	$14 – $269
3	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	6	$37	$173	$291	168%	—	$32 – $808
4	First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	5	$37	$38	$4	10%	—	$34 – $45
5	Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$262	$262	$213	81%	—	$49 – $476
6	Aetna facility · fee schedule · outpatient · +3 other terms	1	$9	$9	—	—	—	$9 – $9
7	Anthem facility · fee schedule · outpatient · +2 other terms	1	$10	$10	$2	20%	—	$8 – $13
8	Humana facility · fee schedule · outpatient	1	$8	$8	—	—	—	$8 – $8
9	Optum facility · per diem · outpatient	1	$9	$9	—	—	—	$9 – $9
10	Tricare facility · fee schedule · outpatient	1	$8	$8	—	—	—	$8 – $8

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← Hospitals reporting CPT 84521 · Snapshot 20261113T090226Z-3ce6c0b8