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Payers and negotiated rates for HCPCS E1004-RR | medprice.ai

HCPCS E1004-RR

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Payer pricing summary

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Low

$438

Average

$624

Median

$583

High

$1.1k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 10 Per diem 0 Percent of billed charges 0 Other 0

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	7	$581	$614	$220	36%	—	$452 – $1.3k
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$596	$596	—	—	—	$596 – $596
3	Humana facility · fee schedule · outpatient	5	$549	$552	$7	1%	—	$549 – $566
4	Aetna facility · fee schedule · outpatient	4	$1.0k	$867	$307	35%	—	$335 – $1.0k
5	UnitedHealthcare facility · fee schedule · outpatient	4	$438	$438	—	—	—	$438 – $438
6	WellCare facility · fee schedule · outpatient	4	$596	$596	—	—	—	$596 – $596
7	Cigna facility · fee schedule · outpatient	3	$1.2k	$1.1k	$218	20%	—	$855 – $1.5k
8	Regence facility · fee schedule · outpatient	2	$570	$570	—	—	—	$570 – $570
9	Caresource facility · fee schedule · outpatient	1	$457	$457	—	—	—	$457 – $457
10	Molina facility · fee schedule · outpatient	1	$452	$452	—	—	—	$452 – $452

← Hospitals reporting HCPCS E1004-RR · Snapshot 20261113T090226Z-3ce6c0b8