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Payers and negotiated rates for HCPCS K0455-RR | medprice.ai

HCPCS K0455-RR

Pump uninterrupted infusion

Payer pricing summary

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Low

$343

Average

$416

Median

$369

High

$648

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 8 Per diem 0 Percent of billed charges 0 Other 0

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$370	$366	$54	15%	—	$289 – $496
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$373	$373	—	—	—	$373 – $373
3	Humana facility · fee schedule · outpatient	5	$343	$345	$4	1%	—	$343 – $354
4	UnitedHealthcare facility · fee schedule · outpatient	5	$339	$365	$51	14%	—	$339 – $468
5	Aetna facility · fee schedule · outpatient	4	$638	$532	$183	34%	—	$215 – $638
6	WellCare facility · fee schedule · outpatient	4	$373	$373	—	—	—	$373 – $373
7	Cigna facility · fee schedule · outpatient	3	$679	$648	$127	20%	—	$499 – $879
8	Regence facility · fee schedule · outpatient	2	$352	$352	—	—	—	$352 – $352

← Hospitals reporting HCPCS K0455-RR · Snapshot 20261115T194459Z-975ba28a