Repl soft interface, helmet

Payers reporting HCPCS A8004

Payer pricing summary

Low

Average

$100

Median

$77

High

$274

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	23	$105	$93	$148	159%	—	$8 – $730
2	Anthem facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$10 – $26
3	Caresource facility · case rate · outpatient · +2 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 · +3 other terms	15	$16	$17	$4	23%	—	$11 – $27
6	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$334	$251	$143	57%	—	$105 – $418
7	Optum facility · case rate · outpatient	11	$14	$16	$4	22%	—	$13 – $24
8	Cigna professional · fee schedule · outpatient · +3 other terms	10	$87	$90	$5	6%	—	$87 – $102
9	Highmark fee schedule · outpatient · +1 other terms	10	$44	$44	—	—	—	$44 – $44
10	Aetna fee schedule · outpatient · +1 other terms	2	$60	$60	$1	1%	—	$60 – $61
11	Excellus fee schedule · outpatient	2	$151	$150	$22	15%	—	$88 – $158
12	Humana facility · other · outpatient	2	$23	$23	$3	15%	—	$19 – $26
13	Ambetter percent of total billed charges · outpatientfrom % of charges	1	$165	$165	—	—	—	$165 – $165
14	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
15	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Nv fee schedule · outpatient	1	$19	$19	—	—	—	$19 – $19
17	First Health percent of total billed charges · outpatientfrom % of charges	1	$185	$185	—	—	—	$185 – $185
18	Kaiser percent of total billed charges · outpatientfrom % of charges	1	$168	$168	—	—	—	$168 – $168
19	MultiPlan percent of total billed charges · outpatientfrom % of charges	1	$242	$242	—	—	—	$242 – $242
20	Oscar percent of total billed charges · outpatientfrom % of charges	1	$165	$165	—	—	—	$165 – $165
21	Phcs percent of total billed charges · outpatientfrom % of charges	1	$210	$210	—	—	—	$210 – $210

← Hospitals reporting HCPCS A8004 · Snapshot 20261112T181611Z-3fa9fb76