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Payers and negotiated rates for CPT 90464 | medprice.ai

Isosorbide Mn Tab Sr 60 Mg

Payers reporting CPT 90464

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Payer pricing summary

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Low

$2

Average

$8

Median

$8

High

$19

Payer rate distribution

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1	Aetna percent of total billed charges · outpatientfrom % of charges	7	$8	$7	$7	97%	—	$1 – $31
2	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	4	$3	$4	$2	52%	—	$1 – $7
3	Cigna percent of total billed charges · outpatientfrom % of charges	4	$12	$10	$9	97%	—	$1 – $34
4	Anthem fee schedule · outpatient · +1 other terms	2	$6	$7	$5	75%	—	$2 – $13
5	Humana fee schedule · outpatient · +1 other terms	2	$4	$3	$2	69%	—	$1 – $6
6	Superior Healthplan fee schedule · outpatient · +1 other terms	2	$5	$5	$1	27%	—	$3 – $6
7	UnitedHealthcare fee schedule · outpatient · +1 other terms	2	$6	$6	$5	76%	—	$2 – $13
8	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	1	$19	$19	$15	78%	—	$4 – $33
9	First Health percent of total billed charges · outpatientfrom % of charges	1	$2	$2	—	—	—	$2 – $2
10	MultiPlan fee schedule · outpatient · +1 other terms	1	$6	$6	—	—	—	$6 – $6
11	WellCare fee schedule · outpatient · +1 other terms	1	$8	$8	$6	73%	—	$2 – $13

← Hospitals reporting CPT 90464 · Snapshot 20261111T120946Z-9134e7f7