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Payers and negotiated rates for CPT 99149 | medprice.ai

CPT 99149

Fee Schedule

Payer pricing summary

i

Low

$44

Average

$1.6k

Median

$487

High

$8.8k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 2 Fee schedule 18 Per diem 4 Percent of billed charges 15 Other 6

Filter by billing class

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	15	$236	$301	$156	52%	—	$18 – $899
2	Aetna fee schedule · outpatient · +9 other terms	5	$224	$261	$116	45%	—	$81 – $392
3	Cigna fee schedule · both · +6 other terms	5	$106	$163	$81	50%	—	$106 – $299
4	First Health fee schedule · both · +3 other terms	5	$50	$50	—	—	—	$50 – $50
5	Humana fee schedule · outpatient · +5 other terms	4	$3.0k	$3.9k	$3.2k	82%	—	$80 – $8.3k
6	UnitedHealthcare fee schedule · outpatient · +5 other terms	4	$634	$629	$343	54%	—	$81 – $899
7	Molina fee schedule · outpatient · +2 other terms	3	$899	$735	$328	45%	—	$79 – $899
8	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	3	$83	$394	$440	112%	—	$83 – $1.0k
9	Wellmark facility · per diem · inpatient	3	$1.8k	$1.7k	$934	55%	—	$928 – $3.0k
10	Aetna Better Health fee schedule · inpatient	2	$137	$137	—	—	—	$137 – $137

Page 1 of 3 · 24 payers

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