9 EM core sessions

Payers reporting HCPCS G9875

Payer pricing summary

Low

Average

$175

Median

$134

High

$656

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +13 other terms	51	$644	$613	$275	45%	—	$82 – $877
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	51	$257	$247	$149	60%	—	$47 – $791
3	Aetna fee schedule · outpatient · +15 other terms	22	$128	$230	$327	142%	—	$79 – $1.7k
4	Cigna fee schedule · both · +10 other terms	14	$194	$201	$20	10%	—	$194 – $269
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	$90	$84	$10	12%	—	$62 – $90
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$285	$215	$122	57%	—	$90 – $357
8	Highmark fee schedule · outpatient · +5 other terms	10	$99	$99	$2	2%	—	$92 – $99
9	Medica fee schedule · outpatient · +5 other terms	10	$170	$171	$44	26%	—	$103 – $220
10	Ambetter other · outpatient · +3 other terms	8	$940	$933	$57	6%	—	$732 – $992
11	Anthem other · outpatient · +6 other terms	8	$490	$490	—	—	—	$490 – $490
12	First Health professional · fee schedule · both · +5 other terms	8	$0	$69	$89	129%	—	$0 – $185
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	$197	$197	—	—	—	$197 – $197
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	$878	$895	$36	4%	—	$878 – $976
18	MultiPlan professional · fee schedule · both · +3 other terms	3	$0	$45	$63	141%	—	$0 – $134
19	Phcs professional · fee schedule · both · +2 other terms	3	$0	$45	$63	141%	—	$0 – $134
20	Wellmark facility · case rate · outpatient	3	$140	$123	$39	32%	—	$57 – $155
21	Clover facility · other · outpatient	2	$321	$321	$66	21%	—	$255 – $387
22	Medicaid facility · case rate · outpatient · +1 other terms	2	$36	$36	—	—	—	$36 – $36
23	Optum facility · case rate · outpatient · +1 other terms	2	$34	$34	—	—	—	$34 – $34
24	Oscar facility · other · outpatient · +1 other terms	2	$321	$321	$66	21%	—	$255 – $387
25	Tricare facility · fee schedule · outpatient · +2 other terms	2	$321	$321	$66	21%	—	$255 – $387

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← Hospitals reporting HCPCS G9875 · Snapshot 20261112T181611Z-3fa9fb76