Maryland, District of Columbia, Virginia
CareFirst BCBS (PPO) fee schedule, by CPT code.
CareFirst BlueCross BlueShield (Maryland / DC / N. Virginia) — PPO publishes the rate it negotiated with your practice every month, by NPI. We read that file and give you the number — for a single code free, or for your whole code list across every payer you contract with on a paid plan.
What you get
The number, and everything behind it.
The exact dollar CareFirst BCBS (PPO) negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.
Which CareFirst BCBS (PPO) network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.
The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.
On a paid plan, CareFirst BCBS (PPO) becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.
Also in Maryland, District of Columbia, Virginia