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Payers and negotiated rates for HCPCS S9991 | medprice.ai

Services provided as part of

Payers reporting HCPCS S9991

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Payer pricing summary

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Low

$0

Average

$51

Median

$34

High

$324

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +5 other terms	19	$0	$0	$0	100%	—	$0 – $0
2	Anthem facility · case rate · outpatient · +3 other terms	15	$58	$63	$15	23%	—	$39 – $98
3	Caresource facility · case rate · outpatient · +1 other terms	15	$59	$63	$14	23%	—	$39 – $100
4	Molina facility · case rate · outpatient · +1 other terms	15	$58	$63	$15	23%	—	$40 – $98
5	UnitedHealthcare facility · case rate · outpatient · +1 other terms	15	$59	$64	$15	23%	—	$40 – $100
6	Wellmark fee schedule · both	13	$34	$34	—	—	—	$34 – $34
7	Optum facility · case rate · outpatient	11	$54	$60	$13	22%	—	$49 – $89
8	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$0	$0	—	—	—	$0 – $0
9	Humana fee schedule · inpatient · +2 other terms	5	$0	$0	—	—	—	$0 – $0
10	First Health professional · fee schedule · both	3	$0	$0	—	—	—	$0 – $0
11	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	2	$0	$0	—	—	—	$0 – $0
12	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
13	Bcbs Nc facility · fee schedule · outpatient	1	$25	$25	—	—	—	$25 – $25
14	Bcbs Vt professional · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
15	Cigna fee schedule · both · +1 other terms	1	$1	$1	—	—	—	$1 – $1

← Hospitals reporting HCPCS S9991 · Snapshot 20261113T090226Z-3ce6c0b8