UNSPECIFIED ADJUNCTIVE PROCEDURE; BY REPORT

Payers reporting HCPCS D9999

Payer pricing summary

Low

Average

$240

Median

$148

High

$1.9k

Payer rate distribution

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Filter by billing class

#
1	Molina facility · case rate · outpatient · +6 other terms	28	$87	$134	$82	61%	—	$37 – $338
2	UnitedHealthcare facility · case rate · outpatient · +8 other terms	18	$56	$81	$49	61%	—	$37 – $193
3	Anthem facility · case rate · outpatient · +5 other terms	15	$52	$57	$13	23%	—	$36 – $89
4	Caresource facility · case rate · outpatient · +1 other terms	15	$53	$57	$13	23%	—	$36 – $90
5	Optum facility · case rate · outpatient · +1 other terms	13	$50	$71	$42	59%	—	$44 – $167
6	Humana fee schedule · outpatient · +5 other terms	11	$4	$77	$139	180%	—	$1 – $339
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	10	$167	$217	$86	40%	—	$163 – $389
8	Cigna professional · fee schedule · outpatient · +3 other terms	9	$17	$15	$3	22%	—	$8 – $17
9	Aetna Better Health facility · case rate · outpatient · +1 other terms	7	$211	$208	$9	4%	—	$175 – $211
10	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$193	$196	$6	3%	—	$193 – $211
11	Aetna fee schedule · outpatient · +6 other terms	6	$322	$3.7k	$2.8k	77%	—	$321 – $8.4k
12	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$76	$76	—	—	—	$76 – $76
13	Wellmark facility · case rate · outpatient	3	$573	$503	$159	32%	—	$234 – $633
14	Medicaid facility · case rate · outpatient	2	$176	$176	—	—	—	$176 – $176
15	Ambetter case rate · outpatient	1	$0	$0	$0	14%	—	$0 – $0
16	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
17	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$205	$205	—	—	—	$205 – $205
18	Excellus percent of total billed charges · bothfrom % of charges	1	$205	$205	—	—	—	$205 – $205
19	First Health facility · fee schedule · both · +2 other terms	1	$26	$26	—	—	—	$26 – $26
20	Highmark fee schedule · outpatient	1	$152	$152	$63	42%	—	$107 – $242
21	Kaiser facility · fee schedule · both	1	$2	$2	—	—	—	$2 – $2
22	MultiPlan facility · fee schedule · both · +3 other terms	1	$26	$26	—	—	—	$26 – $26
23	Premera facility · fee schedule · both	1	$20	$20	—	—	—	$20 – $20
24	Regence facility · fee schedule · both	1	$23	$23	—	—	—	$23 – $23
25	Tricare facility · fee schedule · both	1	$30	$30	—	—	—	$30 – $30

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