CMPRS BURNGARMENT FOOT-KNEE

Payers reporting HCPCS A6507

Payer pricing summary

Low

Average

$183

Median

$116

High

$798

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +13 other terms	36	$117	$136	$171	126%	—	$0 – $1.0k
2	Aetna fee schedule · outpatient · +10 other terms	29	$2	$3	$3	80%	—	$1 – $13
3	Anthem facility · case rate · outpatient · +5 other terms	15	$33	$36	$8	23%	—	$23 – $56
4	Caresource facility · case rate · outpatient · +2 other terms	15	$34	$36	$8	23%	—	$23 – $57
5	Molina facility · case rate · outpatient · +4 other terms	15	$33	$36	$8	23%	—	$23 – $56
6	UnitedHealthcare facility · case rate · outpatient · +8 other terms	15	$34	$37	$9	23%	—	$23 – $57
7	Wellmark fee schedule · both	13	$38	$38	—	—	—	$38 – $38
8	Optum facility · case rate · outpatient · +1 other terms	11	$31	$34	$8	22%	—	$28 – $51
9	Cigna professional · fee schedule · outpatient · +8 other terms	10	$94	$93	$3	3%	—	$86 – $94
10	Highmark fee schedule · outpatient · +2 other terms	10	$366	$366	—	—	—	$366 – $366
11	Bcbs Mn fee schedule · both · +2 other terms	8	$110	$110	$1	1%	—	$109 – $111
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$2	$2	—	—	—	$2 – $2
13	Humana fee schedule · inpatient · +5 other terms	5	$2	$2	—	—	—	$2 – $2
14	First Health professional · fee schedule · both · +3 other terms	3	$2	$2	—	—	—	$2 – $2
15	Bcbs Ks facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$105	$105	$11	11%	—	$85 – $120
16	Excellus fee schedule · outpatient	2	$737	$737	—	—	—	$737 – $737
17	Kaiser facility · fee schedule · inpatient	2	$293	$293	$16	6%	—	$277 – $310
18	Medica facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$94	$94	—	—	—	$94 – $94
19	MultiPlan facility · fee schedule · inpatient · +3 other terms	2	$415	$415	$23	6%	—	$392 – $439
20	Phcs facility · fee schedule · inpatient	2	$415	$415	$23	6%	—	$392 – $439
21	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nc facility · fee schedule · outpatient	1	$309	$309	—	—	—	$309 – $309
24	Bcbs Nv fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137
25	Devoted percent of total billed chargesfrom % of charges	1	$48	$48	$7	14%	—	$41 – $54

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