HCPCS M1145

HC Mfn Drug Add-on, per Dose

Payer pricing summary

Low

Average

$116

Median

$131

High

$402

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 6 Fee schedule 5 Per diem 5 Percent of billed charges 26 Other 15

Filter by billing class

#
1	Anthem facility · case rate · outpatient	15	$10	$11	$2	23%	—	$7 – $16
2	Caresource facility · case rate · outpatient · +1 other terms	15	$10	$11	$2	23%	—	$7 – $17
3	Molina facility · case rate · outpatient · +6 other terms	15	$10	$11	$2	23%	—	$7 – $16
4	UnitedHealthcare facility · case rate · outpatient · +10 other terms	15	$10	$11	$3	24%	—	$7 – $17
5	Optum facility · case rate · outpatient · +3 other terms	11	$9	$10	$2	22%	—	$8 – $15
6	Aetna other · outpatient · +9 other terms	10	$0	$0	$0	100%	—	— – $0
7	Humana other · outpatient · +9 other terms	10	—	—	$0	—	—	— – $0
8	Aetna Better Health other · outpatient · +3 other terms	9	—	—	—	—	—	— – —
9	Amerihealth Caritas other · outpatient · +1 other terms	9	—	—	—	—	—	— – —
10	Bcbs La other · outpatient · +1 other terms	9	$0	$0	—	—	—	— – $0
11	Cigna other · outpatient · +9 other terms	9	$0	$0	$0	100%	—	— – $0
12	Medcost percent of total billed charges · bothfrom % of charges · +2 other terms	9	$134	$133	$8	6%	—	$107 – $147
13	Kaiser percent of total billed charges · bothfrom % of charges	7	$1	$41	$67	162%	—	$0 – $165
14	First Health other · outpatient · +5 other terms	6	$0	$0	—	—	—	$0 – $0
15	MultiPlan other · outpatient · +7 other terms	6	$0	$0	—	—	—	$0 – $0
16	WellCare facility · other · outpatient · +5 other terms	6	$151	$150	$5	3%	—	$144 – $159
17	Blue Cross Blue Shield facility · other · outpatient · +8 other terms	5	$151	$152	$5	3%	—	$144 – $159
18	Oscar percent of total billed charges · bothfrom % of charges	5	$216	$223	$10	4%	—	$216 – $236
19	Tricare facility · other · outpatient · +4 other terms	5	$151	$152	$4	3%	—	$144 – $159
20	Phcs percent of total billed charges · bothfrom % of charges · +3 other terms	4	$316	$316	—	—	—	$316 – $316
21	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges	3	$149	$149	—	—	—	$149 – $149
22	Carefirst percent of total billed charges · bothfrom % of charges	2	$84	$84	—	—	—	$84 – $84
23	Devoted percent of total billed charges · bothfrom % of charges · +1 other terms	2	$0	$0	$0	8%	—	$0 – $0
24	Excellus fee schedule · outpatient	2	$402	$402	—	—	—	$402 – $402
25	Medicare percent of total billed charges · bothfrom % of charges	2	$0	$0	$0	8%	—	$0 – $0

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← Hospitals reporting HCPCS M1145 · Snapshot 20261113T090226Z-3ce6c0b8