HB Hospital Call

Payers reporting HCPCS D9420

Payer pricing summary

Low

$14

Average

$986

Median

$204

High

$20.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	66	$558	$801	$527	66%	—	$143 – $1.5k
2	UnitedHealthcare professional · fee schedule · outpatient · +9 other terms	23	$226	$229	$119	52%	—	$51 – $520
3	Aetna fee schedule · outpatient · +9 other terms	18	$108	$161	$192	120%	—	$54 – $784
4	Anthem professional · fee schedule · outpatient · +4 other terms	16	$168	$312	$198	63%	—	$152 – $744
5	Caresource facility · case rate · outpatient · +3 other terms	15	$59	$63	$14	23%	—	$39 – $100
6	Molina facility · case rate · outpatient · +4 other terms	15	$58	$63	$15	23%	—	$40 – $98
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	11	$515	$512	$43	8%	—	$389 – $540
8	Optum facility · case rate · outpatient · +2 other terms	11	$54	$60	$13	22%	—	$49 – $89
9	Cigna professional · fee schedule · outpatient · +7 other terms	10	$46	$57	$17	29%	—	$46 – $90
10	Highmark fee schedule · outpatient · +3 other terms	10	$202	$202	—	—	—	$202 – $202
11	Medcost percent of total billed charges · bothfrom % of charges	9	$287	$287	$16	6%	—	$270 – $303
12	WellCare percent of total billed charges · bothfrom % of charges	9	$140	$137	$61	44%	—	$56 – $183
13	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$102	$102	—	—	—	$102 – $102
14	Amerihealth Caritas professional · fee schedule · outpatient	3	$59	$59	$6	10%	—	$53 – $66
15	Medica fee schedule · outpatient · +3 other terms	3	$83	$83	—	—	—	$83 – $83
16	Excellus fee schedule · outpatient · +1 other terms	2	$83	$83	$77	93%	—	$22 – $182
17	Tricare percent of total billed charges · bothfrom % of charges · +1 other terms	2	$238	$238	$55	23%	—	$183 – $292
18	Aetna Better Health percent of total billed charges · bothfrom % of charges · +1 other terms	1	$77	$77	—	—	—	$77 – $77
19	Ambetter fee schedule · outpatient · +1 other terms	1	$80	$80	—	—	—	$80 – $80
20	Bcbs Al facility · other · outpatient	1	$20.6k	$20.6k	—	—	—	$20.6k – $20.6k
21	Bcbs Id professional · fee schedule · outpatient	1	$273	$273	—	—	—	$273 – $273
22	Bcbs Mn fee schedule · outpatient	1	$540	$540	—	—	—	$540 – $540
23	Bcbs Nv fee schedule · both · +1 other terms	1	$105	$105	$34	32%	—	$81 – $153
24	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$64	$64	—	—	—	$64 – $64
25	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$116	$116	$13	11%	—	$103 – $129

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