LSO sag rigid frame cust

Payers reporting HCPCS L0632

Payer pricing summary

Low

Average

$951

Median

$763

High

$3.0k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	32	$1.1k	$1.7k	$1.4k	82%	—	$0 – $5.9k
2	Aetna fee schedule · outpatient · +7 other terms	19	$45	$86	$74	86%	—	$32 – $289
3	Anthem facility · case rate · outpatient · +5 other terms	15	$607	$663	$156	23%	—	$413 – $1.0k
4	Caresource facility · case rate · outpatient · +1 other terms	15	$618	$664	$152	23%	—	$413 – $1.0k
5	Molina facility · case rate · outpatient · +1 other terms	15	$607	$664	$154	23%	—	$425 – $1.0k
6	UnitedHealthcare facility · case rate · outpatient · +5 other terms	15	$618	$672	$158	23%	—	$425 – $1.0k
7	Wellmark fee schedule · both	13	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$3.7k	$2.8k	$1.6k	59%	—	$1.1k – $4.7k
9	Optum facility · case rate · outpatient · +1 other terms	11	$572	$628	$140	22%	—	$516 – $931
10	Cigna professional · fee schedule · outpatient · +3 other terms	10	$277	$273	$9	3%	—	$253 – $277
11	Highmark fee schedule · outpatient · +1 other terms	10	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$46	$46	—	—	—	$46 – $46
13	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	7	$214	$285	$117	41%	—	$159 – $463
14	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	6	$1.0k	$1.2k	$481	39%	—	$767 – $2.2k
15	Humana fee schedule · inpatient · +4 other terms	5	$45	$45	—	—	—	$45 – $45
16	First Health professional · fee schedule · both · +1 other terms	3	$50	$50	—	—	—	$50 – $50
17	Medica facility · percent of total billed charges · outpatientfrom % of charges	3	$1.4k	$1.1k	$502	45%	—	$638 – $2.2k
18	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges	2	$1.9k	$1.9k	$123	6%	—	$1.8k – $2.1k
19	Tricare facility · percent of total billed charges · outpatientfrom % of charges	2	$717	$690	$74	11%	—	$638 – $795
20	WellCare facility · percent of total billed charges · outpatientfrom % of charges	2	$1.0k	$1.0k	$387	38%	—	$638 – $1.4k
21	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	1	$697	$697	—	—	—	$697 – $697
22	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
23	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
24	Bcbs Nv fee schedule · outpatient	1	$755	$755	—	—	—	$755 – $755
25	Devoted facility · percent of total billed charges · outpatientfrom % of charges	1	$676	$676	—	—	—	$676 – $676

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← Hospitals reporting HCPCS L0632 · Snapshot 20261113T090226Z-3ce6c0b8