HC Addn Joint Ue Orth per Jt

Payers reporting HCPCS L3956

Payer pricing summary

Low

Average

$141

Median

$96

High

$1.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	22	$31	$52	$54	103%	—	$18 – $229
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	22	$199	$406	$332	82%	—	$0 – $1.2k
3	MultiPlan percent of total billed charges · outpatientfrom % of charges · +4 other terms	17	$238	$250	$155	62%	—	$79 – $832
4	Anthem facility · case rate · outpatient · +8 other terms	15	$83	$90	$21	23%	—	$56 – $140
5	Caresource facility · case rate · outpatient · +4 other terms	15	$84	$90	$21	23%	—	$56 – $143
6	Molina facility · case rate · outpatient · +7 other terms	15	$83	$91	$21	23%	—	$58 – $140
7	UnitedHealthcare facility · case rate · outpatient · +8 other terms	15	$84	$92	$21	23%	—	$58 – $143
8	Ambetter percent of total billed charges · outpatientfrom % of charges · +1 other terms	14	$85	$105	$96	91%	—	$55 – $568
9	Wellmark fee schedule · both · +3 other terms	13	$80	$80	—	—	—	$80 – $80
10	Amerihealth Caritas percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$35	$40	$12	30%	—	$26 – $56
11	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$59	$59	$5	8%	—	$54 – $64
12	Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$233	$234	$7	3%	—	$225 – $249
13	Medcost percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$146	$155	$35	23%	—	$80 – $249
14	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	12	$20	$21	$6	31%	—	$13 – $37
15	WellCare percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$36	$41	$12	30%	—	$27 – $58
16	Optum facility · case rate · outpatient · +1 other terms	11	$78	$86	$19	22%	—	$70 – $127
17	Highmark fee schedule · outpatient · +2 other terms	10	$44	$44	—	—	—	$44 – $44
18	Cigna professional · fee schedule · outpatient · +7 other terms	8	$20	$20	—	—	—	$20 – $20
19	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$18	$18	—	—	—	$18 – $18
20	Humana fee schedule · inpatient · +7 other terms	5	$18	$18	—	—	—	$18 – $18
21	Kaiser percent of total billed charges · outpatientfrom % of charges · +3 other terms	4	$110	$161	$189	117%	—	$34 – $578
22	Phcs facility · percent of total billed charges · bothfrom % of charges · +1 other terms	4	$36	$37	$1	2%	—	$36 – $38
23	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$42	$43	$3	6%	—	$41 – $47
24	First Health professional · fee schedule · both · +6 other terms	3	$19	$19	—	—	—	$19 – $19
25	Carefirst percent of total billed charges · bothfrom % of charges · +1 other terms	2	$74	$74	—	—	—	$74 – $74

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← Hospitals reporting HCPCS L3956 · Snapshot 20261113T090226Z-3ce6c0b8