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Payers and negotiated rates for CPT 99077 | medprice.ai

Mannitol 20% Inj (500 Ml)

Payers reporting CPT 99077

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Payer pricing summary

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Low

$32

Average

$57

Median

$61

High

$88

Payer rate distribution

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1	Aetna percent of total billed charges · outpatientfrom % of charges	2	$65	$65	$19	29%	—	$46 – $84
2	Cigna percent of total billed charges · outpatientfrom % of charges	2	$62	$67	$19	29%	—	$46 – $92
3	Anthem fee schedule · outpatient · +1 other terms	1	$33	$33	—	—	—	$33 – $33
4	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$32	$32	$4	13%	—	$28 – $36
5	Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges	1	$88	$88	—	—	—	$88 – $88
6	MultiPlan percent of total billed charges · outpatientfrom % of charges	1	$73	$73	—	—	—	$73 – $73
7	UnitedHealthcare fee schedule · outpatient · +1 other terms	1	$33	$33	—	—	—	$33 – $33
8	WellCare fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34

← Hospitals reporting CPT 99077 · Snapshot 20261111T120946Z-9134e7f7