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HCPCS E0572-RR

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Payer pricing summary

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Low

$36

Average

$45

Median

$39

High

$73

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 8 Per diem 0 Percent of billed charges 0 Other 0

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$38	$39	$12	29%	—	$27 – $71
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$39	$39	—	—	—	$39 – $39
3	Humana facility · fee schedule · outpatient	5	$36	$37	$0	1%	—	$36 – $37
4	UnitedHealthcare facility · fee schedule · outpatient	5	$36	$42	$12	30%	—	$36 – $67
5	Aetna facility · fee schedule · outpatient	4	$68	$56	$20	35%	—	$22 – $68
6	WellCare facility · fee schedule · outpatient	4	$39	$39	—	—	—	$39 – $39
7	Cigna facility · fee schedule · outpatient	3	$77	$73	$14	20%	—	$57 – $100
8	Regence facility · fee schedule · outpatient	2	$36	$36	—	—	—	$36 – $36

← Hospitals reporting HCPCS E0572-RR · Snapshot 20261115T194459Z-975ba28a