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Payers and negotiated rates for HCPCS C9040 | medprice.ai

Fee Schedule

Payers reporting HCPCS C9040

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Payer pricing summary

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Low

$2

Average

$98

Median

$77

High

$405

Payer rate distribution

i

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Filter by billing class

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1	Anthem facility · fee schedule · outpatient	7	$352	$65	$138	212%	—	$4 – $452
2	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$2	$2	$1	33%	—	$1 – $3
3	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	6	$10	$10	$1	14%	—	$3 – $10
4	Molina facility · case rate · outpatient · +2 other terms	4	$188	$193	$53	27%	—	$124 – $272
5	Humana facility · case rate · outpatient	3	$103	$106	$5	5%	—	$103 – $113
6	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$3	$3	—	—	—	$3 – $3
7	Wellmark facility · case rate · outpatient	3	$461	$405	$128	32%	—	$188 – $509
8	Aetna facility · case rate · outpatient · +2 other terms	2	$230	$230	$42	18%	—	$188 – $272
9	Amerihealth Caritas case rate · outpatient · +1 other terms	2	$113	$113	—	—	—	$113 – $113
10	UnitedHealthcare facility · case rate · outpatient · +1 other terms	2	$248	$203	$126	62%	—	$113 – $382
11	Aetna Better Health facility · case rate · outpatient	1	$130	$130	$11	9%	—	$119 – $141
12	Bcbs Id professional · fee schedule · outpatient	1	$3	$3	—	—	—	$3 – $3
13	Cigna facility · fee schedule · outpatient · +1 other terms	1	$4	$4	$1	20%	—	$3 – $5

← Hospitals reporting HCPCS C9040 · Snapshot 20261112T181611Z-3fa9fb76