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Payers and negotiated rates for RC 639 | medprice.ai

RC 639

RESERVED PHARMACY 025X EXTENSION

Payers reporting RC 639

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Payer pricing summary

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Low

$2

Average

$1.3k

Median

$482

High

$9.8k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	10	$18	$21	$72	351%	—	$3 – $753
2	UnitedHealthcare fee schedule · outpatient · +8 other terms	7	$149	$140	$308	220%	—	$1 – $1.4k
3	Cigna fee schedule · inpatient · +4 other terms	6	$222	$222	$471	212%	—	$4 – $2.1k
4	First Health fee schedule · inpatient · +3 other terms	6	$206	$206	$437	212%	—	$3 – $1.9k
5	MultiPlan fee schedule · inpatient · +5 other terms	6	$238	$238	$505	212%	—	$4 – $2.2k
6	Optum fee schedule · outpatient	6	$154	$148	$359	243%	—	$1 – $2.4k
7	Humana fee schedule · inpatient · +3 other terms	5	$206	$206	$437	212%	—	$3 – $1.9k
8	Molina case rate · outpatient · +2 other terms	2	$2	$2	$1	36%	—	$1 – $4
9	Aetna case rate · outpatient · +4 other terms	1	$2	$2	$1	36%	—	$1 – $4
10	Aetna Better Health facility · fee schedule · outpatient	1	$2	$2	$1	36%	—	$1 – $3
11	Ambetter other · outpatient · +2 other terms	1	$4.9k	$4.9k	—	—	—	$4.9k – $4.9k
12	Anthem case rate · outpatient · +4 other terms	1	$2	$2	$1	36%	—	$1 – $4
13	Caresource facility · case rate · outpatient · +1 other terms	1	$3	$3	$1	37%	—	$2 – $5

← Hospitals reporting RC 639 · Snapshot 20261111T120946Z-9134e7f7