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Payers and negotiated rates for HCPCS M0010 | medprice.ai

HCPCS M0010

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Payer pricing summary

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Low

$1

Average

$34

Median

$29

High

$74

Payer rate distribution

i

Filter by billing methodology

All methodologies Case rate 11 Fee schedule 7 Per diem 0 Percent of billed charges 0 Other 0

Filter by billing class

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#
1	Molina facility · case rate · outpatient · +2 other terms	13	$30	$38	$16	42%	—	$25 – $76
2	Cigna professional · fee schedule · outpatient	8	$21	$21	—	—	—	$21 – $21
3	Aetna Better Health facility · case rate · outpatient	6	$30	$30	—	—	—	$30 – $30
4	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$28	$28	—	—	—	$28 – $28
5	Aetna facility · case rate · outpatient · +2 other terms	5	$30	$35	$11	32%	—	$25 – $58
6	Humana facility · case rate · outpatient · +1 other terms	5	$25	$26	$1	5%	—	$25 – $28
7	Anthem fee schedule · outpatient · +1 other terms	4	$55	$55	$0	0%	—	$55 – $55
8	UnitedHealthcare case rate · outpatient · +2 other terms	4	$61	$71	$17	23%	—	$61 – $99
9	Blue Cross Blue Shield fee schedule · outpatient	2	$6	$6	$1	17%	—	$4 – $7
10	Medicaid facility · case rate · outpatient	2	$25	$25	—	—	—	$25 – $25
11	Optum facility · case rate · outpatient	2	$24	$24	—	—	—	$24 – $24
12	Wellmark facility · case rate · outpatient	2	$74	$74	$34	46%	—	$40 – $108
13	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
14	WellCare facility · case rate · outpatient	1	$25	$25	—	—	—	$25 – $25

← Hospitals reporting HCPCS M0010 · Snapshot 20261113T090226Z-3ce6c0b8