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Payers and negotiated rates for HCPCS S1002 | medprice.ai

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Payers reporting HCPCS S1002

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Payer pricing summary

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Low

$0

Average

$20

Median

$17

High

$93

Payer rate distribution

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1	Anthem facility · case rate · outpatient · +3 other terms	15	$15	$17	$4	23%	—	$10 – $26
2	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$10 – $27
3	Molina facility · case rate · outpatient · +1 other terms	15	$15	$17	$4	23%	—	$11 – $26
4	UnitedHealthcare facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$11 – $27
5	Aetna fee schedule · both · +5 other terms	13	$67	$67	$0	0%	—	$67 – $68
6	Wellmark fee schedule · both	13	$50	$50	—	—	—	$50 – $50
7	Optum facility · case rate · outpatient	11	$14	$16	$4	22%	—	$13 – $24
8	Cigna professional · fee schedule · outpatient	9	$2	$3	$1	33%	—	$2 – $5
9	Highmark professional · fee schedule · both	3	$0	$0	—	—	—	$0 – $0
10	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	2	$0	$0	—	—	—	$0 – $0
11	Humana facility · other · outpatient	2	$23	$23	$3	15%	—	$19 – $26
12	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
13	Bcbs Nc facility · fee schedule · outpatient	1	$22	$22	—	—	—	$22 – $22
14	Bcbs Nv fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
15	Bcbs Vt professional · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29

← Hospitals reporting HCPCS S1002 · Snapshot 20261113T090226Z-3ce6c0b8