PR Behavioral Counseling for Diabetes Prevention in-Person Group 60 Minutes

Payers reporting HCPCS G9886

Payer pricing summary

Low

Average

$50

Median

$51

High

$123

Payer rate distribution

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#
1	Medicare professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$53	$53	—	—	59	$53 – $53
2	Cigna professional · fee schedule · both · +13 other terms	10	$25	$31	$13	41%	1–10	$25 – $57
3	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	74	$65	$61	$20	33%	—	$0 – $112
4	UnitedHealthcare fee schedule · outpatient · +18 other terms	48	$258	$221	$179	81%	—	$45 – $791
5	Bcbs Tx fee schedule · outpatient	30	$65	$59	$22	37%	—	$19 – $109
6	Molina facility · case rate · outpatient · +12 other terms	27	$74	$71	$23	32%	—	$43 – $133
7	Aetna professional · fee schedule · outpatient · +17 other terms	16	$23	$23	$3	14%	—	$14 – $29
8	Anthem facility · case rate · outpatient · +12 other terms	15	$78	$86	$20	23%	—	$53 – $133
9	Caresource facility · case rate · outpatient · +6 other terms	15	$80	$86	$20	23%	—	$53 – $136
10	Optum facility · case rate · outpatient · +3 other terms	13	$71	$75	$22	30%	—	$41 – $120
11	Humana fee schedule · outpatient · +13 other terms	11	$88	$86	$9	10%	—	$63 – $95
12	MultiPlan percent of total billed charges · outpatientfrom % of charges · +4 other terms	11	$21	$51	$55	107%	—	$8 – $147
13	Ambetter other · outpatient · +4 other terms	8	$48	$48	$3	6%	—	$38 – $51
14	Phcs percent of total billed charges · outpatientfrom % of charges · +4 other terms	7	$20	$54	$58	107%	—	$9 – $147
15	Aetna Better Health facility · case rate · outpatient · +1 other terms	6	$51	$51	—	—	—	$51 – $51
16	Amerihealth Caritas facility · case rate · outpatient · +5 other terms	6	$47	$47	—	—	—	$47 – $47
17	Carefirst professional · fee schedule · inpatient · +3 other terms	3	$26	$26	—	—	—	$26 – $26
18	Excellus professional · fee schedule · inpatient · +4 other terms	3	$26	$26	—	—	—	$26 – $26
19	First Health professional · fee schedule · both · +6 other terms	3	$26	$26	—	—	—	$26 – $26
20	Highmark professional · fee schedule · inpatient · +3 other terms	3	$26	$26	—	—	—	$26 – $26
21	Kaiser professional · fee schedule · inpatient · +5 other terms	3	$26	$26	—	—	—	$26 – $26
22	Magellan professional · fee schedule · inpatient · +3 other terms	3	$26	$26	—	—	—	$26 – $26
23	Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$16	$28	$18	64%	—	$15 – $53
24	Medicaid professional · fee schedule · inpatient · +4 other terms	3	$26	$26	—	—	—	$26 – $26
25	Medical Mutual professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$16	$34	$19	55%	—	$15 – $53

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← Hospitals reporting HCPCS G9886 · Snapshot 20261111T120946Z-9134e7f7