Payer comparison · HCPCS A9520 · ORLANDO, FL

A9520 — Kit For The Prep Of Tc-99m-tilmanocept 250 Mcg Solution For Injection

What each payer pays ADVENTHEALTH ORLANDO (CCN 100007) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$152,202 All-payer median here

$171,980 Cash / self-pay here

32 payer/plan-name variants

← This hospital National rates for A9520 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

Zelis	$386,954	154.2%	1
MultiPlan	$374,056	145.8%	1
BeechStreet Corporation	$343,959	126.0%	2
PHCS (Private Healthcare Systems)	$322,462	111.9%	1
GBG_Administrative_Services	$305,264	100.6%	1
GMMI Inc	$279,467	83.6%	1
Lucet	$257,970	69.5%	2
Plotkin	$257,970	69.5%	1
National_Healthcare_Solutions	$257,970	69.5%	1
HealthOne_Alliance	$236,472	55.4%	1
Carelon Medical Benefits Management	$214,975	41.2%	1
Aetna	$211,320	38.8%	8
AvMed	$195,412	28.4%	2
BCBS of Florida (Florida Blue)	$185,050	21.6%	7
Humana	$171,980	13.0%	9
UnitedHealthcare	$149,407	-1.8%	8
UPMC Health Plan	$139,738	-8.2%	2
Advanced Medical Pricing Solutions (AMPS)	$133,714	-12.1%	1
Cigna Healthcare	$110,927	-27.1%	3
HEALTH FIRST HEALTH PLANS NATIONAL	$73,091	-52.0%	1
Molina Healthcare	$1,097	-99.3%	1
Florida Complete Care	$1,097	-99.3%	1
Better_Health_Medicaid	$1,097	-99.3%	1
Simply Healthcare Plans	$1,097	-99.3%	4
Sunshine Health	$26	-100.0%	3
Oscar Health	$21	-100.0%	1
Devoted Health	$11	-100.0%	1
Optimum	$11	-100.0%	1
FREEDOM HEALTH PLAN	$11	-100.0%	1
WellCare Health Plans	$11	-100.0%	1
HealthFirst_Plans	$10	-100.0%	1
Longevity	$10	-100.0%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.