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Payers and negotiated rates for HCPCS G1021 | medprice.ai

HCPCS G1021

**Cdsm Ehealthline's

Payer pricing summary

i

Low

$0

Average

$17

Median

$1

High

$406

Payer rate distribution

i

Filter by billing methodology

All methodologies Case rate 7 Fee schedule 3 Per diem 0 Percent of billed charges 30 Other 5

Filter by billing class

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#
1	First Health facility · percent of total billed charges · bothfrom % of charges · +5 other terms	17	$1	$1	$0	2%	—	$1 – $1
2	Humana facility · percent of total billed charges · bothfrom % of charges · +3 other terms	17	$1	$1	$0	10%	—	$1 – $1
3	Medcost facility · percent of total billed charges · bothfrom % of charges · +4 other terms	17	$1	$1	$0	10%	—	$1 – $1
4	Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +1 other terms	17	$1	$1	$0	11%	—	$1 – $1
5	Sanford Health Plan facility · percent of total billed charges · bothfrom % of charges · +1 other terms	17	$1	$1	$0	1%	—	$1 – $1
6	Anthem facility · case rate · outpatient · +7 other terms	15	$10	$11	$2	23%	—	$7 – $16
7	Caresource facility · case rate · outpatient	15	$10	$11	$2	23%	—	$7 – $17
8	Molina facility · case rate · outpatient · +4 other terms	15	$10	$11	$2	23%	—	$7 – $16
9	Ucare facility · percent of total billed charges · bothfrom % of charges · +1 other terms	15	$0	$1	$0	57%	—	$0 – $1
10	UnitedHealthcare facility · case rate · outpatient · +8 other terms	15	$10	$11	$3	24%	—	$7 – $17

Page 1 of 4 · 32 payers

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