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Payers and negotiated rates for CPT 90425 | medprice.ai

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Payers reporting CPT 90425

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Payer pricing summary

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Low

$2

Average

$51

Median

$60

High

$118

Payer rate distribution

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1	Aetna percent of total billed charges · outpatientfrom % of charges	3	$6	$76	$57	74%	—	$2 – $142
2	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	2	$55	$90	$46	51%	—	$6 – $150
3	Cigna percent of total billed charges · outpatientfrom % of charges	2	$55	$55	$54	98%	—	$4 – $134
4	MultiPlan percent of total billed charges · outpatientfrom % of charges	2	$68	$89	$66	74%	—	$5 – $167
5	Superior Healthplan fee schedule · outpatient · +1 other terms	2	$58	$76	$58	77%	—	$4 – $165
6	Anthem fee schedule · outpatient · +1 other terms	1	$2	$2	—	—	—	$2 – $2
7	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$5	$5	—	—	—	$5 – $5
8	Phcs percent of total billed charges · outpatientfrom % of charges	1	$118	$118	$32	27%	—	$86 – $150
9	UnitedHealthcare fee schedule · outpatient · +1 other terms	1	$2	$2	—	—	—	$2 – $2
10	WellCare fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2

← Hospitals reporting CPT 90425 · Snapshot 20261111T120946Z-9134e7f7