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Payers and negotiated rates for HCPCS J1055 | medprice.ai

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Payers reporting HCPCS J1055

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Payer pricing summary

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Low

$45

Average

$140

Median

$80

High

$370

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	8	$355	$314	$73	23%	—	$156 – $379
2	First Health professional · percent of total billed charges · bothfrom % of charges	6	$90	$90	$13	14%	—	$77 – $115
3	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +2 other terms	6	$66	$66	$18	27%	—	$42 – $92
4	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$45	$45	—	—	—	$45 – $45
5	Aetna professional · fee schedule · both · +7 other terms	2	$65	$65	—	—	—	$65 – $65
6	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$77	$77	—	—	—	$77 – $77
7	Kaiser fee schedule · both	2	$56	$56	—	—	—	$56 – $56
8	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$77	$77	—	—	—	$77 – $77
9	UnitedHealthcare fee schedule · both · +7 other terms	2	$199	$199	$125	63%	—	$74 – $324
10	Aetna Better Health fee schedule · both	1	$74	$74	—	—	—	$74 – $74
11	Amerihealth Caritas fee schedule · both	1	$74	$74	—	—	—	$74 – $74
12	Anthem facility · fee schedule · outpatient	1	$370	$370	—	—	—	$370 – $370
13	Cigna fee schedule · both · +5 other terms	1	$53	$53	—	—	—	$53 – $53
14	Humana fee schedule · both · +4 other terms	1	$74	$74	—	—	—	$74 – $74
15	Superior Healthplan other · both · +1 other terms	1	$324	$324	—	—	—	$324 – $324
16	WellCare other · both	1	$318	$318	—	—	—	$318 – $318

← Hospitals reporting HCPCS J1055 · Snapshot 20261113T090226Z-3ce6c0b8