HC Hard Protect Helmet Custom

Payers reporting HCPCS A8003

Payer pricing summary

Low

Average

$913

Median

$736

High

$3.4k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	23	$153	$212	$445	210%	—	$25 – $2.2k
2	Aetna fee schedule · outpatient · +11 other terms	21	$202	$495	$476	96%	—	$60 – $1.6k
3	Anthem facility · case rate · outpatient · +6 other terms	15	$15	$17	$4	23%	—	$10 – $26
4	Caresource facility · case rate · outpatient · +5 other terms	15	$16	$17	$4	23%	—	$10 – $27
5	Molina facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$11 – $26
6	MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms	15	$1.5k	$2.0k	$1.4k	72%	—	$651 – $6.6k
7	UnitedHealthcare facility · case rate · outpatient · +8 other terms	15	$16	$17	$4	23%	—	$11 – $27
8	Wellmark fee schedule · both · +2 other terms	13	$31	$31	$25	82%	—	$6 – $56
9	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$310	$310	$25	8%	—	$285 – $335
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$486	$366	$208	57%	—	$153 – $609
11	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$106	$110	$34	31%	—	$70 – $196
12	Optum facility · case rate · outpatient · +3 other terms	11	$14	$16	$4	22%	—	$13 – $24
13	Cigna professional · fee schedule · outpatient · +7 other terms	10	$433	$424	$26	6%	—	$363 – $445
14	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$301	$301	—	—	—	$301 – $301
15	Highmark fee schedule · outpatient · +3 other terms	10	$642	$642	—	—	—	$642 – $642
16	Premera percent of total billed charges · outpatientfrom % of charges	9	$1.2k	$1.2k	$48	4%	—	$1.1k – $1.2k
17	Regence percent of total billed charges · outpatientfrom % of charges	9	$1.1k	$1.1k	$162	14%	—	$991 – $1.4k
18	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$208	$208	—	—	—	$208 – $208
19	Humana fee schedule · inpatient · +7 other terms	5	$202	$202	—	—	—	$202 – $202
20	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$385	$400	$24	6%	—	$382 – $434
21	First Health professional · fee schedule · both · +5 other terms	3	$167	$167	$73	44%	—	$44 – $222
22	WellCare facility · percent of total billed charges · outpatientfrom % of charges	3	$752	$752	—	—	—	$752 – $752
23	Carefirst percent of total billed charges · bothfrom % of charges	2	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
24	Excellus fee schedule · outpatient	2	$396	$392	$107	27%	—	$88 – $430
25	Kaiser percent of total billed charges · bothfrom % of charges · +1 other terms	2	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k

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← Hospitals reporting HCPCS A8003 · Snapshot 20261112T181611Z-3fa9fb76