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Payers and negotiated rates for HCPCS A4277 | medprice.ai

HCPCS A4277

DIANEAL 2.5%D LOW CA 2000ML

Payer pricing summary

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Low

$21

Average

$29

Median

$28

High

$45

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 0 Per diem 0 Percent of billed charges 6 Other 0

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#
1	Aetna facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$29	$29	$13	44%	—	$16 – $42
2	Blue Cross Blue Shield facility · percent of total billed charges · outpatientfrom % of charges	1	$21	$21	—	—	—	$21 – $21
3	Cigna facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$21	$21	$3	14%	—	$18 – $24
4	Highmark facility · percent of total billed charges · outpatientfrom % of charges	1	$34	$34	$7	22%	—	$29 – $47
5	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$45	$45	$3	7%	—	$42 – $48
6	UnitedHealthcare facility · percent of total billed charges · inpatientfrom % of charges	1	$27	$27	—	—	—	$27 – $27

← Hospitals reporting HCPCS A4277 · Snapshot 20261113T090226Z-3ce6c0b8