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Payers and negotiated rates for HCPCS E0628 | medprice.ai

HCPCS E0628

Fee Schedule

Payer pricing summary

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Low

$9

Average

$350

Median

$164

High

$1.2k

Payer rate distribution

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Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +2 other terms	3	$137	$177	$103	58%	—	$22 – $336
2	Aetna fee schedule · outpatient · +2 other terms	2	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
3	Blue Cross Blue Shield fee schedule · outpatient	2	$934	$934	$156	17%	—	$778 – $1.1k
4	Kaiser fee schedule · both	2	$49	$49	—	—	—	$49 – $49
5	MultiPlan professional · percent of total billed charges · bothfrom % of charges	2	$27	$27	—	—	—	$27 – $27
6	Bcbs Ca facility · fee schedule · outpatient	1	$9	$9	$1	9%	—	$8 – $10
7	Cigna fee schedule · both · +1 other terms	1	$261	$261	$167	64%	—	$40 – $484
8	Healthpartners facility · fee schedule · outpatient	1	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
9	Humana fee schedule · outpatient · +1 other terms	1	$49	$49	$8	16%	—	$41 – $56

← Hospitals reporting HCPCS E0628 · Snapshot 20261113T090226Z-3ce6c0b8