HC Rh Primatrix Mesh 2x2

Payers reporting HCPCS Q4110

Payer pricing summary

Low

Average

$1.2k

Median

$469

High

$7.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	504	$184	$385	$1.3k	327%	—	$1 – $25.3k
2	Cigna fee schedule · outpatient · +24 other terms	337	$130	$435	$1.7k	394%	—	$21 – $28.2k
3	Aetna fee schedule · outpatient · +23 other terms	283	$128	$932	$2.3k	248%	—	$28 – $19.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	277	$133	$348	$1.0k	289%	—	$0 – $15.0k
5	Humana fee schedule · outpatient · +22 other terms	249	$121	$303	$791	261%	—	$1 – $8.0k
6	Molina fee schedule · outpatient · +20 other terms	95	$160	$1.0k	$3.6k	357%	—	$1 – $26.5k
7	Anthem fee schedule · outpatient · +18 other terms	80	$125	$352	$2.1k	595%	—	$28 – $36.3k
8	Caresource fee schedule · outpatient · +13 other terms	63	$111	$255	$229	90%	—	$1 – $524
9	Kaiser fee schedule · outpatient · +19 other terms	57	$264	$4.9k	$7.5k	154%	—	$39 – $39.8k
10	WellCare fee schedule · outpatient · +17 other terms	51	$135	$134	$25	18%	—	$28 – $171
11	MultiPlan fee schedule · inpatient · +16 other terms	44	$3.7k	$7.4k	$8.7k	118%	—	$48 – $46.4k
12	Ambetter fee schedule · outpatient · +12 other terms	42	$234	$244	$55	22%	—	$62 – $351
13	Optum fee schedule · outpatient · +12 other terms	40	$125	$340	$638	187%	—	$58 – $3.5k
14	Devoted facility · fee schedule · outpatient · +11 other terms	39	$118	$122	$6	5%	—	$111 – $143
15	Highmark facility · fee schedule · outpatient · +12 other terms	35	$104	$135	$74	55%	—	$42 – $473
16	Oscar facility · fee schedule · outpatient · +11 other terms	31	$143	$151	$38	25%	—	$69 – $234
17	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$230	$209	$70	33%	—	$85 – $361
18	Tricare facility · fee schedule · outpatient · +12 other terms	28	$127	$640	$3.7k	582%	—	$109 – $43.0k
19	First Health fee schedule · outpatient · +15 other terms	27	$5.6k	$9.2k	$9.5k	104%	—	$73 – $45.4k
20	Medica fee schedule · outpatient · +15 other terms	27	$668	$1.5k	$2.1k	136%	—	$31 – $6.2k
21	Medicare facility · fee schedule · outpatient · +10 other terms	21	$128	$129	$15	12%	—	$37 – $155
22	Regence professional · fee schedule · outpatient · +12 other terms	21	$43	$49	$23	47%	—	$43 – $153
23	Healthpartners fee schedule · outpatient · +9 other terms	19	$78	$80	$9	11%	—	$76 – $131
24	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	19	$230	$356	$504	141%	—	$66 – $4.7k
25	Medical Mutual facility · fee schedule · outpatient · +6 other terms	19	$133	$167	$52	31%	—	$64 – $468

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