Ost pch clsd for bar w lk fl

Payers reporting HCPCS A4420

Payer pricing summary

Low

Average

Median

High

$17

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	32	$4	$4	$3	78%	—	$0 – $15
2	Aetna fee schedule · outpatient · +5 other terms	29	$1	$1	$1	80%	—	$0 – $4
3	Anthem facility · case rate · outpatient · +4 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 · +3 other terms	15	$16	$17	$4	23%	—	$11 – $27
7	Wellmark fee schedule · both	13	$2	$2	—	—	—	$2 – $2
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$6	$4	$3	75%	—	$0 – $7
9	Optum facility · case rate · outpatient	11	$14	$16	$4	22%	—	$13 – $24
10	Cigna professional · fee schedule · outpatient · +1 other terms	10	$2	$2	—	—	—	$2 – $2
11	Highmark fee schedule · outpatient · +2 other terms	10	$2	$2	—	—	—	$2 – $2
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$1	$1	—	—	—	$1 – $1
13	Humana fee schedule · inpatient · +2 other terms	5	$1	$1	—	—	—	$1 – $1
14	Amerihealth Caritas professional · fee schedule · outpatient	3	$16	$16	$0	2%	—	$16 – $17
15	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$5	$5	$0	6%	—	$5 – $6
16	First Health professional · fee schedule · both	3	$1	$1	—	—	—	$1 – $1
17	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$3	$3	—	—	—	$3 – $3
18	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
19	Bcbs Nc facility · fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2
20	Bcbs Nv fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1

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