CMPRSBURNGARMENT GLOVE-ELBOW

Payers reporting HCPCS A6505

Payer pricing summary

Low

Average

$252

Median

$168

High

$878

Payer rate distribution

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#
1	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	1	$522	$522	—	—	3–30	$522 – $522
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	34	$298	$342	$450	131%	—	$0 – $2.7k
3	Aetna fee schedule · outpatient · +9 other terms	29	$90	$119	$96	80%	—	$45 – $482
4	Anthem facility · case rate · outpatient · +5 other terms	15	$33	$36	$8	23%	—	$23 – $56
5	Caresource facility · case rate · outpatient · +1 other terms	15	$34	$36	$8	23%	—	$23 – $57
6	Molina facility · case rate · outpatient · +4 other terms	15	$33	$36	$8	23%	—	$23 – $56
7	UnitedHealthcare facility · case rate · outpatient · +7 other terms	15	$34	$37	$9	23%	—	$23 – $57
8	Wellmark fee schedule · both	13	$105	$105	—	—	—	$105 – $105
9	Optum facility · case rate · outpatient · +1 other terms	11	$31	$34	$8	22%	—	$28 – $51
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$98	$115	$38	33%	—	$98 – $201
11	Highmark fee schedule · outpatient · +2 other terms	10	$440	$440	—	—	—	$440 – $440
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$77	$77	—	—	—	$77 – $77
13	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
14	Humana fee schedule · inpatient · +5 other terms	5	$75	$75	—	—	—	$75 – $75
15	First Health professional · fee schedule · both · +3 other terms	3	$83	$83	—	—	—	$83 – $83
16	Bcbs Ks facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$163	$163	$17	11%	—	$131 – $186
17	Excellus fee schedule · outpatient	2	$614	$614	—	—	—	$614 – $614
18	Kaiser facility · fee schedule · inpatient	2	$400	$400	$150	38%	—	$250 – $551
19	Medica facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$146	$146	—	—	—	$146 – $146
20	MultiPlan facility · fee schedule · inpatient · +3 other terms	2	$567	$567	$213	38%	—	$354 – $780
21	Phcs facility · fee schedule · inpatient	2	$567	$567	$213	38%	—	$354 – $780
22	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
23	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
24	Bcbs Nc facility · fee schedule · outpatient	1	$607	$607	—	—	—	$607 – $607
25	Bcbs Nv fee schedule · outpatient	1	$361	$361	—	—	—	$361 – $361

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