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Payers and negotiated rates for HCPCS L4380 | medprice.ai

HCPCS L4380

Fee Schedule

Payer pricing summary

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Low

$42

Average

$403

Median

$114

High

$1.7k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 4 Per diem 1 Percent of billed charges 6 Other 0

Filter by billing class

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	8	$461	$409	$96	23%	—	$202 – $492
2	Anthem facility · fee schedule · outpatient · +2 other terms	3	$76	$146	$60	41%	—	$76 – $210
3	Wellmark facility · per diem · inpatient	3	$1.8k	$1.7k	$934	55%	—	$928 – $3.0k
4	Aetna professional · fee schedule · outpatient	2	$904	$1.3k	$623	49%	—	$184 – $1.6k
5	Humana professional · percent of total billed charges · bothfrom % of charges	2	$65	$65	—	—	—	$65 – $65
6	Kaiser fee schedule · both	2	$182	$182	—	—	—	$182 – $182
7	MultiPlan professional · percent of total billed charges · bothfrom % of charges	2	$78	$78	—	—	—	$78 – $78
8	Cigna percent of total billed charges · outpatientfrom % of charges	1	$62	$62	—	—	—	$62 – $62
9	First Health percent of total billed charges · outpatientfrom % of charges	1	$92	$92	—	—	—	$92 – $92
10	UnitedHealthcare facility · percent of total billed charges · inpatientfrom % of charges	1	$42	$42	—	—	—	$42 – $42

← Hospitals reporting HCPCS L4380 · Snapshot 20261113T090226Z-3ce6c0b8