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Payers and negotiated rates for CPT 90458 | medprice.ai

Pravastatin Tab 20 Mg

Payers reporting CPT 90458

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Payer pricing summary

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Low

$2

Average

$73

Median

$79

High

$169

Payer rate distribution

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1	Aetna percent of total billed charges · outpatientfrom % of charges	7	$4	$91	$186	205%	—	$1 – $655
2	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	4	$3	$3	$2	59%	—	$1 – $7
3	Cigna percent of total billed charges · outpatientfrom % of charges	4	$6	$67	$156	235%	—	$1 – $616
4	Superior Healthplan fee schedule · outpatient · +1 other terms	3	$6	$135	$220	163%	—	$1 – $762
5	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	2	$76	$137	$210	154%	—	$1 – $693
6	Humana fee schedule · outpatient	2	$4	$3	$2	88%	—	$1 – $6
7	UnitedHealthcare fee schedule · outpatient · +1 other terms	2	$151	$240	$119	50%	—	$2 – $300
8	Anthem fee schedule · outpatient · +1 other terms	1	$2	$2	—	—	—	$2 – $2
9	First Health percent of total billed charges · outpatientfrom % of charges	1	$3	$3	$1	47%	—	$2 – $5
10	MultiPlan fee schedule · outpatient · +1 other terms	1	$6	$6	—	—	—	$6 – $6
11	Phcs percent of total billed charges · outpatientfrom % of charges	1	$169	$169	$241	143%	—	$2 – $693
12	WellCare fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2

← Hospitals reporting CPT 90458 · Snapshot 20261111T120946Z-9134e7f7