Reddenda · Rate Intelligence · Detroit-Warren-Dearborn, MI

76872 under Centene in Detroit-Warren-Dearborn, MI: a flat fee schedule

No dispersion to score. Flat fee schedule

• Centene pays exactly $136.32 for CPT 76872 to 97.4% of the 10451 providers indexed in Detroit-Warren-Dearborn, MI.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
• This cell has 10451 individual rate records and 10451 distinct providers, all converging on one number.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
• Because the rate is flat, there is no local percentile to claim here: every peer is paid the same, so "below median" is not a meaningful complaint against this specific file.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
• A rate change here would have to come from a fee-schedule renegotiation with Centene directly, not a peer-comparison argument, since 97.4% of the local market already sits at the identical number.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
• Centene's flat rate for this code has no published Medicare Physician Fee Schedule anchor to compare against; it is priced entirely on Centene's own fee schedule.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
• A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute (45 CFR §149.510(c)(4)(iii)(B)).Source: 45 CFR §149.510(c)(4)(iii)(B) (No Surprises Act IDR)

Modeled from Centene's own published in-network rates, not guaranteed. Peer basis: same CPT, same payer file, same metro (CBSA); never a pooled payer family, never a national average. Page generated 2026-09-22 04:55 UTC.