Cath therapeutic irrig agent

Payers reporting HCPCS A4321

Payer pricing summary

Low

Average

Median

High

$31

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +6 other terms	29	$2	$3	$2	78%	—	$1 – $9
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	22	$17	$13	$13	101%	—	$0 – $49
3	Anthem facility · case rate · outpatient · +5 other terms	15	$15	$17	$4	23%	—	$10 – $26
4	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$10 – $27
5	Molina facility · case rate · outpatient · +2 other terms	15	$15	$17	$4	23%	—	$11 – $26
6	UnitedHealthcare facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$11 – $27
7	Wellmark fee schedule · both · +1 other terms	13	$9	$9	—	—	—	$9 – $9
8	Optum facility · case rate · outpatient	11	$14	$16	$4	22%	—	$13 – $24
9	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$1	$1	—	—	—	$1 – $1
10	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
11	Humana fee schedule · inpatient · +4 other terms	5	$1	$1	—	—	—	$1 – $1
12	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$6	$7	$0	6%	—	$6 – $7
13	First Health professional · fee schedule · both	3	$1	$1	—	—	—	$1 – $1
14	Ambetter facility · fee schedule · both	1	$4	$4	—	—	—	$4 – $4
15	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
16	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
17	Bcbs Nc facility · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
18	Bcbs Nv fee schedule · outpatient	1	$6	$6	—	—	—	$6 – $6
19	Cigna professional · fee schedule · outpatient · +1 other terms	1	$36	$36	—	—	—	$36 – $36
20	WellCare facility · fee schedule · both	1	$4	$4	—	—	—	$4 – $4

← Hospitals reporting HCPCS A4321 · Snapshot 20261112T181611Z-3fa9fb76