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Payers and negotiated rates for HCPCS L0624 | medprice.ai

SIO panel custom

Payers reporting HCPCS L0624

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Payer pricing summary

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Low

$0

Average

$168

Median

$95

High

$575

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	32	$75	$296	$325	110%	—	$0 – $1.2k
2	Aetna fee schedule · outpatient · +8 other terms	19	$40	$77	$66	86%	—	$28 – $257
3	Anthem facility · case rate · outpatient · +4 other terms	15	$53	$58	$14	23%	—	$36 – $90
4	Caresource facility · case rate · outpatient · +1 other terms	15	$54	$58	$13	23%	—	$36 – $92
5	Molina facility · case rate · outpatient · +1 other terms	15	$53	$58	$13	23%	—	$37 – $90
6	UnitedHealthcare facility · case rate · outpatient · +5 other terms	15	$54	$59	$14	23%	—	$37 – $92
7	Wellmark fee schedule · both	13	$575	$575	—	—	—	$575 – $575
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$117	$88	$50	57%	—	$37 – $146
9	Optum facility · case rate · outpatient	11	$50	$55	$12	22%	—	$45 – $81
10	Highmark fee schedule · outpatient · +1 other terms	10	$467	$467	—	—	—	$467 – $467
11	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$41	$41	—	—	—	$41 – $41
12	Humana fee schedule · inpatient · +4 other terms	5	$40	$40	—	—	—	$40 – $40
13	First Health professional · fee schedule · both	3	$44	$44	—	—	—	$44 – $44
14	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
15	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Nv fee schedule · outpatient	1	$88	$88	—	—	—	$88 – $88
17	Cigna professional · fee schedule · outpatient · +3 other terms	1	$153	$153	—	—	—	$153 – $153
18	Medcost facility · percent of total billed charges · bothfrom % of charges · +2 other terms	1	$328	$328	—	—	—	$328 – $328

← Hospitals reporting HCPCS L0624 · Snapshot 20261113T090226Z-3ce6c0b8