DISCONTINUED USE 16MM

Payers reporting HCPCS Q4132

Payer pricing summary

Low

$83

Average

$1.1k

Median

$534

High

$10.2k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	514	$210	$478	$1.0k	218%	—	$1 – $14.3k
2	Cigna fee schedule · outpatient · +19 other terms	364	$168	$712	$1.7k	237%	—	$26 – $11.6k
3	Aetna fee schedule · outpatient · +22 other terms	285	$146	$856	$2.2k	259%	—	$38 – $15.4k
4	Humana fee schedule · outpatient · +21 other terms	252	$125	$462	$896	194%	—	$1 – $6.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	212	$180	$666	$1.4k	216%	—	$1 – $11.5k
6	Molina fee schedule · outpatient · +19 other terms	103	$193	$267	$542	203%	—	$1 – $6.0k
7	Anthem fee schedule · outpatient · +15 other terms	84	$187	$427	$965	226%	—	$38 – $12.7k
8	Caresource fee schedule · outpatient · +12 other terms	67	$107	$198	$480	242%	—	$1 – $3.1k
9	Kaiser fee schedule · outpatient · +18 other terms	67	$277	$2.1k	$3.0k	142%	—	$125 – $13.9k
10	WellCare fee schedule · outpatient · +17 other terms	58	$135	$184	$257	140%	—	$38 – $1.7k
11	MultiPlan fee schedule · outpatient · +15 other terms	56	$4.2k	$4.1k	$3.9k	96%	—	$170 – $16.2k
12	Ambetter facility · fee schedule · outpatient · +12 other terms	49	$212	$205	$57	28%	—	$129 – $269
13	Devoted fee schedule · outpatient · +6 other terms	34	$125	$126	$8	6%	—	$116 – $139
14	Highmark facility · fee schedule · outpatient · +11 other terms	34	$117	$194	$147	76%	—	$38 – $773
15	Optum fee schedule · outpatient · +11 other terms	33	$125	$254	$523	205%	—	$113 – $3.2k
16	Medica fee schedule · outpatient · +13 other terms	28	$862	$1.4k	$1.8k	128%	—	$192 – $8.5k
17	Oscar facility · fee schedule · outpatient · +10 other terms	28	$143	$153	$36	24%	—	$111 – $234
18	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$158	$158	$31	20%	—	$119 – $207
19	Regence professional · fee schedule · outpatient · +13 other terms	21	$373	$353	$64	18%	—	$151 – $373
20	Superior Healthplan facility · fee schedule · outpatient · +2 other terms	21	$131	$129	$3	2%	—	$125 – $131
21	First Health fee schedule · outpatient · +13 other terms	20	$5.0k	$6.3k	$3.8k	59%	—	$167 – $15.9k
22	Healthpartners fee schedule · outpatient · +8 other terms	20	$163	$164	$9	6%	—	$131 – $205
23	Medical Mutual facility · fee schedule · outpatient · +8 other terms	19	$171	$199	$91	46%	—	$64 – $468
24	Medicare fee schedule · outpatient · +8 other terms	18	$125	$125	—	—	—	$125 – $125
25	Wellmark fee schedule · outpatient · +11 other terms	18	$38	$81	$34	42%	—	$38 – $110

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