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Payers and negotiated rates for CPT 99143 | medprice.ai

CPT 99143

Fee Schedule

Payer pricing summary

i

Low

$38

Average

$907

Median

$470

High

$4.9k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 2 Fee schedule 23 Per diem 5 Percent of billed charges 21 Other 11

Filter by billing class

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	15	$321	$401	$181	45%	—	$140 – $899
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	10	$68	$303	$360	119%	—	$35 – $899
3	MultiPlan fee schedule · outpatient · +7 other terms	7	$214	$195	$47	24%	—	$79 – $214
4	Phcs fee schedule · inpatient · +3 other terms	6	$179	$179	—	—	—	$179 – $179
5	Aetna fee schedule · outpatient · +12 other terms	5	$298	$259	$125	48%	—	$83 – $392
6	Cigna fee schedule · both · +9 other terms	5	$142	$134	$13	10%	—	$107 – $142
7	First Health fee schedule · both · +3 other terms	5	$67	$67	—	—	—	$67 – $67
8	Humana fee schedule · outpatient · +7 other terms	5	$438	$2.8k	$3.2k	114%	—	$79 – $8.3k
9	Medica fee schedule · outpatient	5	$189	$189	—	—	—	$189 – $189
10	Molina fee schedule · outpatient · +2 other terms	3	$899	$629	$382	61%	—	$82 – $899

Page 1 of 3 · 30 payers

← Hospitals reporting CPT 99143 · Snapshot 20261113T090226Z-3ce6c0b8