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Payers and negotiated rates for CPT 97542-GP | medprice.ai

""PT WHEELCHAIR MGMT EA 15 MIN""

Payers reporting CPT 97542-GP

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Payer pricing summary

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Low

$30

Average

$77

Median

$84

High

$114

Payer rate distribution

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1	Aetna facility · case rate · outpatient · +2 other terms	1	$31	$31	—	—	—	$31 – $31
2	Blue Cross Blue Shield percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$96	$96	—	—	—	$96 – $96
3	Cigna percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$85	$85	—	—	—	$85 – $85
4	Excellus facility · case rate · outpatient	1	$84	$84	$54	64%	—	$30 – $139
5	Humana percent of total billed charges · outpatientfrom % of charges	1	$67	$67	—	—	—	$67 – $67
6	UnitedHealthcare facility · case rate · outpatient · +1 other terms	1	$153	$153	$122	80%	—	$31 – $275
7	WellCare facility · case rate · outpatient	1	$30	$30	—	—	—	$30 – $30

← Hospitals reporting CPT 97542-GP · Snapshot 20261110T202143Z-6f619f9d