HC Analgesia, No2

Payers reporting HCPCS D9230

Payer pricing summary

Low

Average

$1.6k

Median

$74

High

$22k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +8 other terms	71	$67	$132	$84	63%	—	$26 – $240
2	Molina facility · case rate · outpatient · +7 other terms	30	$127	$115	$85	74%	—	$24 – $307
3	Aetna fee schedule · outpatient · +12 other terms	27	$29	$66	$106	162%	—	$13 – $619
4	UnitedHealthcare fee schedule · outpatient · +14 other terms	26	$54	$55	$32	57%	—	$16 – $163
5	Anthem professional · fee schedule · outpatient · +6 other terms	17	$35	$54	$27	50%	—	$29 – $121
6	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms	17	$58	$78	$28	36%	—	$36 – $116
7	Caresource facility · case rate · outpatient · +3 other terms	15	$184	$198	$45	23%	—	$123 – $312
8	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$59	$59	$5	8%	—	$54 – $64
9	Optum facility · case rate · outpatient · +3 other terms	14	$162	$157	$70	44%	—	$30 – $277
10	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	13	$72	$72	—	—	—	$72 – $72
11	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$17	$16	$5	32%	—	$9 – $31
12	Blue Cross Blue Shield facility · fee schedule · outpatient · +13 other terms	11	$1	$1.2k	$4.9k	424%	—	$0 – $22k
13	Highmark fee schedule · outpatient · +4 other terms	11	$44	$92	$317	345%	—	$44 – $2.9k
14	Cigna professional · fee schedule · outpatient · +7 other terms	10	$14	$15	$2	11%	—	$14 – $18
15	Clover facility · percent of total billed charges · outpatientfrom % of charges	10	$12	$16	$6	35%	—	$12 – $24
16	Aetna Better Health facility · case rate · outpatient · +2 other terms	7	$37	$37	$1	4%	—	$32 – $37
17	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$34	$35	$1	3%	—	$34 – $37
18	Medicaid fee schedule · outpatient · +1 other terms	7	$78	$78	—	—	—	$78 – $78
19	Tricare facility · fee schedule · outpatient · +3 other terms	6	$37.5k	$27.8k	$24.8k	89%	—	$49 – $50k
20	Medica fee schedule · outpatient · +3 other terms	5	$25	$23	$7	29%	—	$17 – $34
21	Kaiser fee schedule · outpatient · +1 other terms	4	$241	$234	$154	66%	—	$78 – $523
22	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$25	$25	—	—	—	$25 – $25
23	Wellmark facility · case rate · outpatient	3	$104	$91	$29	32%	—	$42 – $115
24	Excellus fee schedule · outpatient · +4 other terms	2	$74	$74	$69	93%	—	$19 – $163
25	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$111	$111	—	—	—	$111 – $111

Page 1 of 2 · 38 payers

← Hospitals reporting HCPCS D9230 · Snapshot 20261111T120946Z-9134e7f7