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Payers and negotiated rates for CPT 86767 | medprice.ai

CPT 86767

HB Ref Lymphocytic Choriomeningitis (Lcm) Virus Ab, Serum (Q)

Payer pricing summary

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Low

$7

Average

$67

Median

$64

High

$107

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 0 Per diem 0 Percent of billed charges 11 Other 0

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#
1	Aetna percent of total billed charges · outpatientfrom % of charges	9	$52	$49	$25	51%	—	$15 – $107
2	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	9	$59	$55	$25	46%	—	$7 – $107
3	Cigna percent of total billed charges · outpatientfrom % of charges	9	$54	$55	$26	48%	—	$20 – $107
4	MultiPlan percent of total billed charges · outpatientfrom % of charges	9	$95	$94	$14	15%	—	$61 – $107
5	UnitedHealthcare percent of total billed charges · outpatientfrom % of charges	9	$77	$78	$25	32%	—	$48 – $107
6	First Health percent of total billed charges · outpatientfrom % of charges	8	$89	$85	$16	19%	—	$61 – $107
7	Beechstreet percent of total billed charges · outpatientfrom % of charges	4	$86	$88	$5	5%	—	$86 – $96
8	Humana percent of total billed charges · outpatientfrom % of charges	4	$56	$59	$26	45%	—	$20 – $107
9	Magellan percent of total billed charges · outpatientfrom % of charges	2	$64	$64	—	—	—	$64 – $64
10	Optum percent of total billed charges · outpatientfrom % of charges	2	$107	$107	—	—	—	$107 – $107

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