EM 9 percent WL

Payers reporting HCPCS G9881

Payer pricing summary

Low

Average

$47

Median

$40

High

$175

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	52	$257	$204	$179	88%	—	$25 – $791
2	Humana fee schedule · outpatient · +18 other terms	51	$179	$158	$80	51%	—	$24 – $244
3	Aetna fee schedule · outpatient · +16 other terms	24	$37	$59	$60	102%	—	$25 – $332
4	Cigna fee schedule · both · +13 other terms	15	$54	$50	$8	16%	—	$30 – $54
5	Blue Cross Blue Shield facility · fee schedule · outpatient · +12 other terms	13	$25	$27	$10	39%	—	$20 – $62
6	Molina facility · case rate · outpatient · +17 other terms	13	$43	$46	$11	25%	—	$36 – $83
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$79	$60	$34	57%	—	$25 – $99
8	Highmark fee schedule · outpatient · +9 other terms	10	$27	$27	$1	2%	—	$25 – $27
9	Medica fee schedule · outpatient · +5 other terms	10	$47	$47	$12	26%	—	$28 – $61
10	Ambetter other · outpatient · +4 other terms	8	$264	$262	$16	6%	—	$206 – $279
11	Anthem other · outpatient · +12 other terms	8	$138	$138	—	—	—	$138 – $138
12	First Health professional · fee schedule · both · +9 other terms	8	$0	$14	$18	129%	—	$0 – $37
13	WellCare professional · fee schedule · both · +5 other terms	8	$0	$0	—	—	—	$0 – $0
14	Aetna Better Health fee schedule · inpatient · +6 other terms	7	$39	$39	—	—	—	$39 – $39
15	Amerihealth Caritas facility · case rate · outpatient · +3 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 · +4 other terms	6	$247	$251	$10	4%	—	$247 – $274
18	MultiPlan professional · fee schedule · both · +4 other terms	3	$0	$12	$17	141%	—	$0 – $37
19	Phcs professional · fee schedule · both · +4 other terms	3	$0	$12	$17	141%	—	$0 – $37
20	Wellmark facility · case rate · outpatient · +2 other terms	3	$140	$123	$39	32%	—	$57 – $155
21	Clover facility · other · outpatient	2	$76	$76	$2	3%	—	$74 – $78
22	Medicaid facility · case rate · outpatient · +3 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	$76	$76	$2	3%	—	$74 – $78
25	Tricare facility · fee schedule · outpatient · +6 other terms	2	$76	$76	$2	3%	—	$74 – $78

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← Hospitals reporting HCPCS G9881 · Snapshot 20261112T181611Z-3fa9fb76