Pharmacy

Payers reporting HCPCS C9090

Payer pricing summary

Low

Average

$310

Median

$277

High

$1.1k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +7 other terms	40	$41	$120	$178	148%	—	$29 – $682
2	Molina facility · case rate · outpatient · +3 other terms	27	$668	$599	$237	40%	—	$319 – $1.2k
3	UnitedHealthcare facility · case rate · outpatient · +3 other terms	18	$715	$724	$236	33%	—	$319 – $1.2k
4	Anthem facility · case rate · outpatient · +3 other terms	15	$710	$777	$182	23%	—	$483 – $1.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	15	$45	$84	$40	48%	—	$31 – $141
6	Caresource facility · case rate · outpatient	15	$724	$777	$178	23%	—	$483 – $1.2k
7	Optum facility · case rate · outpatient	13	$643	$669	$217	32%	—	$303 – $1.1k
8	Humana fee schedule · outpatient · +2 other terms	9	$29	$333	$340	102%	—	$29 – $716
9	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$30	$30	—	—	—	$30 – $30
10	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$351	$356	$11	3%	—	$351 – $383
11	Cigna facility · fee schedule · outpatient	4	$54	$61	$32	53%	—	$36 – $131
12	First Health facility · fee schedule · outpatient · +1 other terms	4	$90	$90	—	—	—	$90 – $90
13	Highmark facility · fee schedule · outpatient	3	$32	$33	$1	4%	—	$32 – $36
14	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$31	$31	—	—	—	$31 – $31
15	Wellmark facility · case rate · outpatient	3	$1.2k	$1.1k	$335	32%	—	$494 – $1.3k
16	Medicaid facility · case rate · outpatient	2	$319	$319	—	—	—	$319 – $319
17	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
18	Bcbs Vt professional · fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31
19	Magellan fee schedule · outpatient	1	$32	$32	—	—	—	$32 – $32
20	WellCare facility · case rate · outpatient	1	$319	$319	—	—	—	$319 – $319

← Hospitals reporting HCPCS C9090 · Snapshot 20261112T181611Z-3fa9fb76