LSO flexion control custom

Payers reporting HCPCS L0634

Payer pricing summary

Low

Average

$578

Median

$416

High

$2.8k

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	32	$296	$472	$474	101%	—	$0 – $2.0k
2	Aetna fee schedule · outpatient · +10 other terms	19	$350	$673	$578	86%	—	$245 – $2.2k
3	Anthem facility · case rate · outpatient · +6 other terms	15	$302	$330	$77	23%	—	$205 – $512
4	Caresource facility · case rate · outpatient · +1 other terms	15	$307	$330	$76	23%	—	$205 – $521
5	Molina facility · case rate · outpatient · +2 other terms	15	$302	$330	$77	23%	—	$211 – $512
6	UnitedHealthcare facility · case rate · outpatient · +6 other terms	15	$307	$334	$78	23%	—	$211 – $521
7	Wellmark fee schedule · both	13	$600	$600	—	—	—	$600 – $600
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$187	$140	$80	57%	—	$59 – $234
9	Optum facility · case rate · outpatient · +1 other terms	11	$284	$312	$70	22%	—	$257 – $463
10	Highmark fee schedule · outpatient · +1 other terms	10	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
11	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$361	$361	—	—	—	$361 – $361
12	Humana fee schedule · inpatient · +3 other terms	5	$350	$350	—	—	—	$350 – $350
13	Cigna percent of total billed charges · outpatientfrom % of charges · +1 other terms	3	$1.7k	$1.1k	$572	51%	—	$541 – $1.7k
14	First Health professional · fee schedule · both · +2 other terms	3	$385	$385	—	—	—	$385 – $385
15	MultiPlan percent of total billed charges · outpatientfrom % of charges · +4 other terms	3	$3.4k	$3.1k	$477	16%	—	$2.3k – $3.4k
16	Medicaid fee schedule · outpatient	2	$1	$1	—	—	—	$1 – $1
17	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
18	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
19	Bcbs Nv fee schedule · outpatient	1	$211	$211	—	—	—	$211 – $211
20	Oscar percent of total billed charges · outpatientfrom % of charges · +2 other terms	1	$451	$451	—	—	—	$451 – $451

← Hospitals reporting HCPCS L0634 · Snapshot 20261113T090226Z-3ce6c0b8