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Payers and negotiated rates for RC 99231 | medprice.ai

RC 99231

SUBSEQ CARE (15 MIN)

Payers reporting RC 99231

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Payer pricing summary

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Low

$27

Average

$125

Median

$120

High

$294

Payer rate distribution

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1	Optum facility · fee schedule · both · +1 other terms	4	$47	$108	$107	99%	—	$45 – $294
2	Aetna facility · fee schedule · both · +1 other terms	3	$72	$172	$123	71%	—	$29 – $294
3	Blue Cross Blue Shield facility · fee schedule · both · +1 other terms	3	$70	$198	$119	60%	—	$36 – $294
4	Cigna facility · fee schedule · both · +1 other terms	3	$45	$166	$128	77%	—	$33 – $294
5	Humana facility · fee schedule · both · +2 other terms	3	$47	$194	$123	63%	—	$40 – $294
6	UnitedHealthcare facility · fee schedule · both · +1 other terms	3	$34	$76	$98	128%	—	$20 – $294
7	Ambetter facility · fee schedule · both · +1 other terms	2	$166	$166	$128	77%	—	$38 – $294
8	Molina facility · fee schedule · both	2	$172	$233	$106	46%	—	$49 – $294
9	Tricare facility · fee schedule · both · +1 other terms	2	$167	$230	$110	48%	—	$40 – $294
10	WellCare facility · fee schedule · both · +1 other terms	2	$167	$230	$110	48%	—	$40 – $294
11	Aetna Better Health facility · fee schedule · inpatient	1	$27	$27	—	—	—	$27 – $27
12	Bcbs Az facility · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
13	Bcbs Tn facility · fee schedule · both	1	$34	$34	—	—	—	$34 – $34
14	Bcbs Tx facility · fee schedule · both	1	$41	$41	$0	0%	—	$41 – $41
15	Devoted facility · fee schedule · outpatient	1	$39	$39	—	—	—	$39 – $39
16	Magellan facility · fee schedule · both	1	$70	$70	—	—	—	$70 – $70
17	Medcost facility · fee schedule · both	1	$294	$294	—	—	—	$294 – $294
18	MultiPlan facility · fee schedule · both	1	$294	$294	—	—	—	$294 – $294

← Hospitals reporting RC 99231 · Snapshot 20261112T181611Z-3fa9fb76