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Payers and negotiated rates for HCPCS C9487 | medprice.ai

Ustekinumab IV inj, 1 mg

Payers reporting HCPCS C9487

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Payer pricing summary

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Low

$13

Average

$533

Median

$89

High

$4.3k

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	Anthem facility · fee schedule · outpatient	5	$267	$248	$101	41%	—	$54 – $342
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	4	$14	$14	$2	12%	—	$9 – $16
3	Highmark facility · fee schedule · outpatient	3	$13	$14	$1	4%	—	$13 – $15
4	Humana facility · case rate · outpatient	3	$78	$80	$4	5%	—	$78 – $86
5	Molina facility · fee schedule · outpatient · +1 other terms	3	$54	$47	$10	21%	—	$33 – $54
6	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$13	$13	—	—	—	$13 – $13
7	Aetna percent of total billed charges · outpatientfrom % of charges	1	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
8	Aetna Better Health facility · case rate · outpatient	1	$89	$89	$0	1%	—	$89 – $90
9	Amerihealth Caritas facility · case rate · outpatient	1	$93	$93	—	—	—	$93 – $93
10	Bcbs Id professional · fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
11	Cigna fee schedule · both · +1 other terms	1	$15	$15	—	—	—	$15 – $15
12	Kaiser facility · fee schedule · outpatient	1	$40	$40	—	—	—	$40 – $40
13	MultiPlan percent of total billed charges · outpatientfrom % of charges	1	$4.3k	$4.3k	$168	4%	—	$4.1k – $4.5k
14	UnitedHealthcare facility · case rate · outpatient · +2 other terms	1	$86	$86	—	—	—	$86 – $86
15	Wellmark facility · case rate · outpatient	1	$290	$290	$14	5%	—	$276 – $303

← Hospitals reporting HCPCS C9487 · Snapshot 20261112T181611Z-3fa9fb76