Tlso Flexible Corst W/Stays Custom L0452

Payers reporting HCPCS L0452

Payer pricing summary

Low

Average

$827

Median

$393

High

$3.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	32	$445	$569	$584	103%	—	$121 – $3.1k
2	UnitedHealthcare fee schedule · both · +10 other terms	26	$179	$343	$212	62%	—	$153 – $732
3	Aetna fee schedule · outpatient · +9 other terms	19	$140	$269	$231	86%	—	$98 – $899
4	Anthem facility · fee schedule · outpatient · +6 other terms	18	$248	$352	$132	38%	—	$228 – $715
5	Caresource facility · case rate · outpatient · +4 other terms	16	$320	$336	$82	24%	—	$216 – $550
6	Molina facility · case rate · outpatient · +5 other terms	15	$318	$348	$81	23%	—	$223 – $540
7	MultiPlan percent of total billed charges · outpatientfrom % of charges · +3 other terms	13	$4.4k	$4.3k	$653	15%	—	$1.1k – $4.5k
8	Wellmark fee schedule · both · +1 other terms	13	$234	$234	—	—	—	$234 – $234
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$376	$283	$160	56%	—	$121 – $470
10	Optum facility · case rate · outpatient	11	$300	$330	$74	22%	—	$271 – $488
11	Cigna professional · fee schedule · outpatient · +3 other terms	10	$163	$161	$5	3%	—	$149 – $163
12	Highmark fee schedule · outpatient · +1 other terms	10	$273	$273	—	—	—	$273 – $273
13	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$144	$144	—	—	—	$144 – $144
14	Humana fee schedule · outpatient · +5 other terms	6	$140	$158	$40	26%	—	$140 – $248
15	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$820	$853	$50	6%	—	$814 – $924
16	First Health professional · fee schedule · both · +3 other terms	3	$154	$154	—	—	—	$154 – $154
17	Healthpartners facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$2.2k	$2.2k	$473	22%	—	$1.6k – $2.8k
18	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
19	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$2.8k	$2.8k	—	—	—	$2.8k – $2.8k
20	Ambetter facility · fee schedule · outpatient · +1 other terms	1	$225	$225	—	—	—	$225 – $225
21	Bcbs Id professional · fee schedule · outpatient	1	$330	$330	—	—	—	$330 – $330
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nc facility · fee schedule · outpatient	1	$213	$213	—	—	—	$213 – $213
24	Bcbs Nv fee schedule · outpatient	1	$232	$232	—	—	—	$232 – $232
25	Kaiser percent of total billed charges · outpatientfrom % of charges	1	$775	$775	—	—	—	$775 – $775

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