4 EM core sessions

Payers reporting HCPCS G9874

Payer pricing summary

Low

Average

$105

Median

$82

High

$394

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +13 other terms	51	$358	$348	$148	42%	—	$49 – $487
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	51	$257	$221	$166	75%	—	$47 – $791
3	Aetna fee schedule · outpatient · +14 other terms	22	$78	$139	$196	141%	—	$49 – $1.0k
4	Cigna fee schedule · both · +10 other terms	14	$108	$113	$15	13%	—	$108 – $162
5	Molina facility · case rate · outpatient · +11 other terms	14	$43	$46	$11	24%	—	$36 – $83
6	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	13	$50	$49	$5	11%	—	$40 – $62
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$159	$119	$68	57%	—	$50 – $199
8	Highmark fee schedule · outpatient · +5 other terms	10	$55	$55	$1	2%	—	$51 – $55
9	Medica fee schedule · outpatient · +5 other terms	10	$95	$95	$24	26%	—	$57 – $122
10	Ambetter other · outpatient · +3 other terms	8	$516	$512	$31	6%	—	$402 – $545
11	Anthem other · outpatient · +6 other terms	8	$269	$269	—	—	—	$269 – $269
12	First Health professional · fee schedule · both · +5 other terms	8	$0	$42	$54	129%	—	$0 – $111
13	WellCare professional · fee schedule · both · +3 other terms	8	$0	$0	—	—	—	$0 – $0
14	Aetna Better Health fee schedule · inpatient · +5 other terms	7	$118	$118	—	—	—	$118 – $118
15	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$40	$40	$1	3%	—	$40 – $43
16	Bcbs Il professional · fee schedule · both · +2 other terms	7	$0	$0	—	—	—	$0 – $0
17	Caresource other · outpatient · +2 other terms	6	$482	$491	$20	4%	—	$482 – $536
18	MultiPlan professional · fee schedule · both · +4 other terms	3	$0	$25	$35	141%	—	$0 – $74
19	Phcs professional · fee schedule · both · +2 other terms	3	$0	$25	$35	141%	—	$0 – $74
20	Wellmark facility · case rate · outpatient	3	$140	$123	$39	32%	—	$57 – $155
21	Clover facility · other · outpatient	2	$188	$188	$45	24%	—	$143 – $233
22	Medicaid facility · case rate · outpatient · +1 other terms	2	$36	$36	—	—	—	$36 – $36
23	Optum facility · case rate · outpatient · +2 other terms	2	$34	$34	—	—	—	$34 – $34
24	Oscar facility · other · outpatient · +1 other terms	2	$188	$188	$45	24%	—	$143 – $233
25	Tricare facility · fee schedule · outpatient · +2 other terms	2	$188	$188	$45	24%	—	$143 – $233

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← Hospitals reporting HCPCS G9874 · Snapshot 20261112T181611Z-3fa9fb76