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Payers and negotiated rates for HCPCS C9490 | medprice.ai

Injection, bezlotoxumab

Payers reporting HCPCS C9490

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Payer pricing summary

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Low

$39

Average

$17.6k

Median

$8.7k

High

$66.2k

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	Anthem facility · fee schedule · outpatient · +1 other terms	5	$1.9k	$1.7k	$705	41%	—	$379 – $2.4k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$42	$44	$7	16%	—	$27 – $60
3	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$44	$44	—	—	—	$44 – $44
4	Highmark facility · fee schedule · outpatient	3	$41	$42	$2	4%	—	$41 – $46
5	Humana facility · case rate · outpatient · +1 other terms	3	$544	$562	$26	5%	—	$544 – $598
6	Molina facility · fee schedule · outpatient · +1 other terms	3	$379	$287	$131	45%	—	$103 – $379
7	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$39	$39	—	—	—	$39 – $39
8	Aetna professional · fee schedule · outpatient · +2 other terms	2	$80	$60	$36	61%	—	$39 – $122
9	First Health percent of total billed charges · bothfrom % of charges	2	$66.2k	$66.2k	$2.0k	3%	—	$64.2k – $68.2k
10	Aetna Better Health facility · case rate · outpatient	1	$666	$666	$40	6%	—	$625 – $706
11	Amerihealth Caritas facility · case rate · outpatient	1	$653	$653	—	—	—	$653 – $653
12	Bcbs Id professional · fee schedule · outpatient	1	$39	$39	—	—	—	$39 – $39
13	Cigna fee schedule · both · +2 other terms	1	$46	$46	—	—	—	$46 – $46
14	Kaiser facility · fee schedule · outpatient · +1 other terms	1	$127	$127	—	—	—	$127 – $127
15	UnitedHealthcare facility · case rate · outpatient · +2 other terms	1	$598	$598	—	—	—	$598 – $598
16	Wellmark facility · case rate · outpatient	1	$2.3k	$2.3k	$108	5%	—	$2.2k – $2.4k

← Hospitals reporting HCPCS C9490 · Snapshot 20261112T181611Z-3fa9fb76