COMPRESS BURN MASK FACE/NECK

Payers reporting HCPCS A6513

Payer pricing summary

Low

Average

$462

Median

$227

High

$2.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	29	$45	$56	$41	74%	—	$30 – $199
2	Anthem facility · case rate · outpatient · +5 other terms	15	$15	$17	$4	23%	—	$10 – $26
3	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$10 – $27
4	Molina facility · case rate · outpatient · +2 other terms	15	$15	$17	$4	23%	—	$11 – $26
5	UnitedHealthcare facility · case rate · outpatient · +9 other terms	15	$16	$17	$4	23%	—	$11 – $27
6	Wellmark fee schedule · both · +2 other terms	13	$27	$27	—	—	—	$27 – $27
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +11 other terms	12	$287	$330	$122	37%	—	$212 – $627
8	Optum facility · case rate · outpatient · +2 other terms	11	$14	$16	$4	22%	—	$13 – $24
9	Cigna professional · fee schedule · outpatient · +11 other terms	10	$873	$910	$83	9%	—	$873 – $1.1k
10	Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$134	$138	$102	74%	—	$37 – $418
11	Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges	8	$214	$227	$224	99%	—	$25 – $997
12	Highmark facility · percent of total billed charges · outpatientfrom % of charges	8	$227	$227	$161	71%	—	$65 – $393
13	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$31	$31	—	—	—	$31 – $31
14	Oscar facility · percent of total billed charges · outpatientfrom % of charges	7	$152	$152	$108	71%	—	$44 – $260
15	Humana fee schedule · inpatient · +4 other terms	5	$30	$30	—	—	—	$30 – $30
16	MultiPlan percent of total billed charges · bothfrom % of charges · +5 other terms	4	$935	$942	$60	6%	—	$882 – $1.0k
17	First Health professional · fee schedule · both · +6 other terms	3	$33	$33	—	—	—	$33 – $33
18	Carefirst percent of total billed charges · bothfrom % of charges	2	$615	$615	—	—	—	$615 – $615
19	Kaiser percent of total billed charges · bothfrom % of charges	2	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
20	Medica facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$5.1k	$5.1k	—	—	—	$5.1k – $5.1k
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 Nv fee schedule · outpatient	1	$245	$245	—	—	—	$245 – $245
24	Devoted percent of total billed chargesfrom % of charges	1	$40	$40	—	—	—	$40 – $40
25	Healthpartners facility · fee schedule · outpatient	1	$807	$807	—	—	—	$807 – $807

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