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Payers and negotiated rates for RC 630 | medprice.ai

RC 630

RESERVED PHARMACY 025X EXTENSION

Payers reporting RC 630

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Payer pricing summary

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Low

$11

Average

$391

Median

$68

High

$4.9k

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare per diem · outpatient · +7 other terms	3	$223	$223	—	—	—	$223 – $223
2	Cigna facility · fee schedule · outpatient · +3 other terms	2	$17	$17	$17	98%	—	$0 – $34
3	Wellmark facility · case rate · both · +3 other terms	2	$108	$108	—	—	—	$108 – $108
4	Aetna professional · fee schedule · outpatient · +4 other terms	1	$40	$40	—	—	—	$40 – $40
5	Ambetter other · outpatient	1	$4.9k	$4.9k	—	—	—	$4.9k – $4.9k
6	Anthem facility · other · outpatient · +1 other terms	1	$46	$46	$4	8%	—	$42 – $49
7	Blue Cross Blue Shield facility · other · outpatient · +4 other terms	1	$37	$37	$5	13%	—	$30 – $41
8	First Health percent of total billed charges · bothfrom % of charges · +1 other terms	1	$0	$0	—	—	—	$0 – $0
9	Humana percent of total billed charges · bothfrom % of charges · +1 other terms	1	$0	$0	—	—	—	$0 – $0
10	Kaiser professional · fee schedule · outpatient · +1 other terms	1	$41	$41	—	—	—	$41 – $41
11	Medicaid facility · other · outpatient · +1 other terms	1	$11	$11	—	—	—	$11 – $11
12	Molina facility · other · outpatient · +2 other terms	1	$28	$28	—	—	—	$28 – $28
13	MultiPlan professional · fee schedule · outpatient · +4 other terms	1	$50	$50	—	—	—	$50 – $50
14	Optum facility · per diem · outpatient	1	$36	$36	—	—	—	$36 – $36
15	Oscar facility · percent of total billed charges · outpatientfrom % of charges	1	$40	$40	—	—	—	$40 – $40
16	Phcs facility · percent of total billed charges · outpatientfrom % of charges	1	$883	$883	—	—	—	$883 – $883
17	Premera facility · percent of total billed charges · bothfrom % of charges	1	$143	$143	—	—	—	$143 – $143
18	Regence facility · percent of total billed charges · bothfrom % of charges	1	$94	$94	$40	42%	—	$54 – $134
19	Tricare facility · percent of total billed charges · bothfrom % of charges	1	$54	$54	—	—	—	$54 – $54

← Hospitals reporting RC 630 · Snapshot 20261111T120946Z-9134e7f7