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Payers and negotiated rates for HCPCS G9035 | medprice.ai

Pharmacy

Payers reporting HCPCS G9035

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Payer pricing summary

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Low

$16

Average

$289

Median

$140

High

$1.3k

Payer rate distribution

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Filter by billing class

#
1	Wellmark fee schedule · both · +1 other terms	13	$1	$1	—	—	—	$1 – $1
2	Anthem facility · fee schedule · outpatient	8	$160	$58	$98	169%	—	$0 – $342
3	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	6	$33	$32	$5	14%	—	$12 – $34
4	Molina facility · case rate · outpatient · +2 other terms	4	$118	$125	$28	23%	—	$93 – $171
5	Aetna professional · fee schedule · outpatient · +8 other terms	3	$21	$59	$85	143%	—	$16 – $230
6	Humana facility · case rate · outpatient · +3 other terms	3	$78	$80	$4	5%	—	$78 – $86
7	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$16	$16	—	—	—	$16 – $16
8	Amerihealth Caritas case rate · outpatient · +1 other terms	2	$86	$86	—	—	—	$86 – $86
9	First Health percent of total billed charges · outpatientfrom % of charges	2	$158	$158	—	—	—	$158 – $158
10	MultiPlan percent of total billed charges · outpatientfrom % of charges	2	$1.1k	$1.1k	$66	6%	—	$988 – $1.1k
11	Optum percent of total billed charges · outpatientfrom % of charges	2	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
12	UnitedHealthcare facility · case rate · outpatient · +5 other terms	2	$159	$135	$69	52%	—	$86 – $233
13	Aetna Better Health facility · case rate · outpatient	1	$89	$89	$0	1%	—	$89 – $90
14	Cigna fee schedule · both · +2 other terms	1	$6	$6	—	—	—	$6 – $6

← Hospitals reporting HCPCS G9035 · Snapshot 20261113T090226Z-3ce6c0b8