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Payers and negotiated rates for HCPCS J1051 | medprice.ai

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Payers reporting HCPCS J1051

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Payer pricing summary

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Low

$11

Average

$36

Median

$25

High

$132

Payer rate distribution

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Filter by billing methodology

Filter by billing class

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1	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	8	$40	$35	$8	23%	—	$18 – $43
2	UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +2 other terms	7	$7	$10	$5	54%	—	$7 – $22
3	First Health professional · percent of total billed charges · bothfrom % of charges · +1 other terms	6	$25	$25	$4	14%	—	$22 – $32
4	Humana professional · percent of total billed charges · bothfrom % of charges	6	$25	$20	$9	46%	—	$8 – $29
5	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +2 other terms	6	$21	$19	$6	34%	—	$9 – $26
6	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$13	$13	—	—	—	$13 – $13
7	Highmark facility · fee schedule · outpatient	3	$11	$11	$0	4%	—	$11 – $12
8	Aetna professional · fee schedule · both · +3 other terms	2	$9	$9	—	—	—	$9 – $9
9	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$22	$22	—	—	—	$22 – $22
10	Kaiser fee schedule · both · +1 other terms	2	$10	$10	—	—	—	$10 – $10
11	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$22	$22	—	—	—	$22 – $22
12	Anthem facility · fee schedule · outpatient · +1 other terms	1	$68	$68	—	—	—	$68 – $68
13	Cigna fee schedule · both · +6 other terms	1	$13	$13	—	—	—	$13 – $13
14	Molina facility · fee schedule · outpatient	1	$27	$27	—	—	—	$27 – $27

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