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Payers and negotiated rates for HCPCS C9043 | medprice.ai

Fee Schedule

Payers reporting HCPCS C9043

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Payer pricing summary

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Low

$4

Average

$66

Median

$53

High

$254

Payer rate distribution

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1	Anthem facility · fee schedule · outpatient · +1 other terms	10	$32	$39	$88	227%	—	$4 – $342
2	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$5	$5	$2	33%	—	$2 – $6
3	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	6	$15	$15	$2	14%	—	$5 – $16
4	Molina facility · case rate · outpatient · +2 other terms	4	$118	$125	$28	23%	—	$93 – $171
5	Humana facility · case rate · outpatient	3	$78	$80	$4	5%	—	$78 – $86
6	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$4	$4	—	—	—	$4 – $4
7	Wellmark facility · case rate · outpatient	3	$290	$254	$80	32%	—	$118 – $320
8	Aetna facility · case rate · outpatient · +2 other terms	2	$145	$145	$26	18%	—	$118 – $171
9	Amerihealth Caritas case rate · outpatient · +1 other terms	2	$86	$86	—	—	—	$86 – $86
10	UnitedHealthcare facility · case rate · outpatient · +1 other terms	2	$159	$135	$69	52%	—	$86 – $233
11	Aetna Better Health facility · case rate · outpatient	1	$89	$89	$0	1%	—	$89 – $90
12	Bcbs Id professional · fee schedule · outpatient	1	$4	$4	—	—	—	$4 – $4
13	Cigna facility · fee schedule · outpatient · +1 other terms	1	$6	$6	$1	20%	—	$5 – $7

← Hospitals reporting HCPCS C9043 · Snapshot 20261112T181611Z-3fa9fb76