HB-Burn Garmet Vest Sleeved

Payers reporting HCPCS A6509

Payer pricing summary

Low

Average

$304

Median

$245

High

$1.1k

Payer rate distribution

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#
1	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	1	$431	$431	—	—	3–30	$431 – $431
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +12 other terms	36	$323	$372	$460	124%	—	$0 – $2.9k
3	Aetna fee schedule · outpatient · +9 other terms	29	$2	$2	$2	80%	—	$1 – $8
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	$335	$335	—	—	—	$335 – $335
9	Optum facility · case rate · outpatient · +1 other terms	11	$31	$34	$8	22%	—	$28 – $51
10	Cigna professional · fee schedule · outpatient · +7 other terms	10	$191	$204	$28	14%	—	$191 – $267
11	Highmark fee schedule · outpatient · +2 other terms	10	$615	$615	—	—	—	$615 – $615
12	Bcbs Mn fee schedule · both · +2 other terms	8	$250	$250	$2	1%	—	$248 – $252
13	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$1	$1	—	—	—	$1 – $1
14	Humana fee schedule · inpatient · +5 other terms	5	$1	$1	—	—	—	$1 – $1
15	First Health professional · fee schedule · both · +3 other terms	3	$1	$1	—	—	—	$1 – $1
16	Bcbs Ks facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$162	$162	$17	11%	—	$130 – $184
17	Excellus fee schedule · outpatient	2	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Kaiser facility · fee schedule · inpatient	2	$460	$460	—	—	—	$460 – $460
19	Medica facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$145	$145	—	—	—	$145 – $145
20	MultiPlan facility · fee schedule · inpatient · +3 other terms	2	$652	$652	—	—	—	$652 – $652
21	Phcs facility · fee schedule · inpatient	2	$652	$652	—	—	—	$652 – $652
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	$471	$471	$54	11%	—	$395 – $509
25	Bcbs Nv fee schedule · outpatient	1	$468	$468	—	—	—	$468 – $468

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