Anthem

Filed by 704 hospitals, with rates for 40,953 billing codes.

State

Plans

Hospitals name plans in their own words, so the same plan can appear under several spellings. Showing the 100 filed by the most hospitals, of 809.

Plan	Hospitals	Codes
medicare advantage	154	17,512
ppo	105	19,935
commercial	82	21,432
hmo	68	17,801
managed medicaid	63	24,361
medicaid	62	19,531
medicare	62	15,517
hmo/ppo	47	14,313
traditional	38	15,398
medicare\|all plans	31	10,295
individual	27	762
medicare adv_ hmo / ppo	27	10,430
medicaid\|all plans	25	11,822
ppo/hmo	24	16,227
anthem blue access ppo	23	13,947
hmo/pos	23	17,926
medi-cal	22	255
commercial\|mcs	21	9,386
exchange	21	20,107
hpn	21	16,172
blue preferred	20	11,122
commercial\|all other plans	20	9,430
anthem - federal employee program	19	15,057
anthem medicare	19	9,910
9399_anthem healthsync hmo vein 20250101	18	12,862
9401_anthem healthsync pos vein 20250101	18	12,862
9403_anthem hmo pos vein 20250101	18	12,861
9404_anthem pathway vein 20250101	18	12,861
9405_anthem pathway x vein 20250101	18	12,861
9406_anthem preferred vein 20250101	18	12,861
9407_anthem short term limited duration vein 20250101	18	12,860
9408_anthem traditional vein 20250101	18	12,086
anthem pathway	18	6,334
blue priority	18	10,916
par	18	3,921
4090_anthem behavioral medicaid replacement outpatient 20200201	17	3,110
4100_anthem behavioral replacement inpatient 20201001	17	102
5471_anthem behavioral medicaid replacement inpatient vein 20201001	17	102
7373_anthem medicaid replacement outpatient 20230101	17	9,291
7765_anthem connect medicaid replacement inpatient 20230801	17	11
8255_anthem connect medicaid replacement outpatient 20240101	17	9,290
8879_anthem connect medicaid replacement asc outpatient 20240401	17	9,296
8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001	17	4,248
anthem mediblue dual hmo snp	16	1,841
anthem medicare advantage plans	16	11,448
anthem wisconsin medicaid plans	16	1,247
mcr	16	5,989
anthem ameriben bsmh employees [4431001]	15	659
anthem blue preferred hmo	15	7,118
anthem blue preferred pos	15	7,896
anthem mediblue access ppo	15	11,406
anthem mediblue plus hmo	15	1,797
commercial\|exchange	15	9,962
anthem medicaid	14	7,412
mgmcd	14	4,891
pathwayessentials	14	9,799
pathwaynsbp	14	9,793
anthem bcbs	13	11,850
anthem bcbs medicare advantage	13	5,833
hix	13	9,924
medicaid iowa	13	2,521
wellmark bcbs	13	2,616
wellmark ppo	13	3,351
anthem blue traditional network	12	9,036
commercial ppo/pos/hmo	12	11,722
hmo/ppo/traditional	12	15,676
managed medicare	12	15,284
No plan filed	11	7,066
anthem ppo	11	16,482
pb xr 100% default	11	2,491
anthem in hip	10	7,483
anthem in hmo ppo trad	10	6,495
anthem in marketplace stld	10	6,495
anthem in medicaid	10	5,323
commercial indemnity	10	5,373
hmo/pos/ppo pathway enhanced	10	14,324
mcr advantage	10	14,330
node anthem essentials marketplace	10	7,487
node anthem in mcr adv	10	7,487
traditional commercial	10	14,915
anthem in work comp	9	7,262
in medicaid	9	10,745
anthem blue cross medi-cal	8	5,111
anthem in healthsync	8	5,986
anthem mcr adv	8	4,378
bcbs trad / trust	8	6,445
bcbs trust trad	8	2,813
enhanced pathways	8	18,391
medicaid hmo	8	2,768
mgmcr	8	5,954
missouricaremgmcd	8	3,683
all products	7	27,799
anthem bhs1	7	4,419
anthem blue trad - all other plans	7	4,406
anthem individual	7	5,105
anthem managed care	7	5,280
anthem - medicare advantage	7	15,695
commercial\|pathway	7	5,761
1242_anthem pathways 20250101	6	2,306
1275_anthem hmo pos 20250701	6	2,239

Most widely filed codes

CPT 99283 (617 hospitals)
CPT 99284 (617 hospitals)
CPT 99285 (615 hospitals)
CPT 85610 (613 hospitals)
CPT 99282 (612 hospitals)
CPT 85018 (609 hospitals)
CPT 83735 (608 hospitals)
CPT 20610 (607 hospitals)
CPT 72100 (607 hospitals)
CPT 81003 (607 hospitals)

Anthem

Filed by 704 hospitals, with rates for 40,953 billing codes.

State

Plans

Hospitals name plans in their own words, so the same plan can appear under several spellings. Showing the 100 filed by the most hospitals, of 809.

Plan	Hospitals	Codes
medicare advantage	154	17,512
ppo	105	19,935
commercial	82	21,432
hmo	68	17,801
managed medicaid	63	24,361
medicaid	62	19,531
medicare	62	15,517
hmo/ppo	47	14,313
traditional	38	15,398
medicare\|all plans	31	10,295
individual	27	762
medicare adv_ hmo / ppo	27	10,430
medicaid\|all plans	25	11,822
ppo/hmo	24	16,227
anthem blue access ppo	23	13,947
hmo/pos	23	17,926
medi-cal	22	255
commercial\|mcs	21	9,386
exchange	21	20,107
hpn	21	16,172
blue preferred	20	11,122
commercial\|all other plans	20	9,430
anthem - federal employee program	19	15,057
anthem medicare	19	9,910
9399_anthem healthsync hmo vein 20250101	18	12,862
9401_anthem healthsync pos vein 20250101	18	12,862
9403_anthem hmo pos vein 20250101	18	12,861
9404_anthem pathway vein 20250101	18	12,861
9405_anthem pathway x vein 20250101	18	12,861
9406_anthem preferred vein 20250101	18	12,861
9407_anthem short term limited duration vein 20250101	18	12,860
9408_anthem traditional vein 20250101	18	12,086
anthem pathway	18	6,334
blue priority	18	10,916
par	18	3,921
4090_anthem behavioral medicaid replacement outpatient 20200201	17	3,110
4100_anthem behavioral replacement inpatient 20201001	17	102
5471_anthem behavioral medicaid replacement inpatient vein 20201001	17	102
7373_anthem medicaid replacement outpatient 20230101	17	9,291
7765_anthem connect medicaid replacement inpatient 20230801	17	11
8255_anthem connect medicaid replacement outpatient 20240101	17	9,290
8879_anthem connect medicaid replacement asc outpatient 20240401	17	9,296
8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001	17	4,248
anthem mediblue dual hmo snp	16	1,841
anthem medicare advantage plans	16	11,448
anthem wisconsin medicaid plans	16	1,247
mcr	16	5,989
anthem ameriben bsmh employees [4431001]	15	659
anthem blue preferred hmo	15	7,118
anthem blue preferred pos	15	7,896
anthem mediblue access ppo	15	11,406
anthem mediblue plus hmo	15	1,797
commercial\|exchange	15	9,962
anthem medicaid	14	7,412
mgmcd	14	4,891
pathwayessentials	14	9,799
pathwaynsbp	14	9,793
anthem bcbs	13	11,850
anthem bcbs medicare advantage	13	5,833
hix	13	9,924
medicaid iowa	13	2,521
wellmark bcbs	13	2,616
wellmark ppo	13	3,351
anthem blue traditional network	12	9,036
commercial ppo/pos/hmo	12	11,722
hmo/ppo/traditional	12	15,676
managed medicare	12	15,284
No plan filed	11	7,066
anthem ppo	11	16,482
pb xr 100% default	11	2,491
anthem in hip	10	7,483
anthem in hmo ppo trad	10	6,495
anthem in marketplace stld	10	6,495
anthem in medicaid	10	5,323
commercial indemnity	10	5,373
hmo/pos/ppo pathway enhanced	10	14,324
mcr advantage	10	14,330
node anthem essentials marketplace	10	7,487
node anthem in mcr adv	10	7,487
traditional commercial	10	14,915
anthem in work comp	9	7,262
in medicaid	9	10,745
anthem blue cross medi-cal	8	5,111
anthem in healthsync	8	5,986
anthem mcr adv	8	4,378
bcbs trad / trust	8	6,445
bcbs trust trad	8	2,813
enhanced pathways	8	18,391
medicaid hmo	8	2,768
mgmcr	8	5,954
missouricaremgmcd	8	3,683
all products	7	27,799
anthem bhs1	7	4,419
anthem blue trad - all other plans	7	4,406
anthem individual	7	5,105
anthem managed care	7	5,280
anthem - medicare advantage	7	15,695
commercial\|pathway	7	5,761
1242_anthem pathways 20250101	6	2,306
1275_anthem hmo pos 20250701	6	2,239