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Payers and negotiated rates for APC 0704 | medprice.ai

APC 0704

Inj, aflibercept hd, 1 mg

Payers reporting APC 0704

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Payer pricing summary

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Low

$163

Average

$358

Median

$311

High

$793

Payer rate distribution

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1	Excellus case rate · outpatient	2	$311	$311	—	—	2–20	$311 – $311
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$321	$319	$4	1%	—	$311 – $321
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	5	$785	$782	$279	36%	—	$311 – $1.2k
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$322	$322	$1	0%	—	$321 – $322
5	Tricare facility · fee schedule · outpatient	5	$311	$311	—	—	—	$311 – $311
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$311	$311	—	—	—	$311 – $311
7	WellCare facility · fee schedule · outpatient	5	$795	$793	$13	2%	—	$772 – $810
8	Cigna case rate · outpatient	2	$311	$311	—	—	—	$311 – $311
9	Highmark case rate · outpatient	2	$311	$311	—	—	—	$311 – $311
10	Sanford Health Plan case rate · outpatient	2	$457	$457	$48	11%	—	$387 – $534
11	Aetna Better Health facility · case rate · outpatient	1	$240	$240	$77	32%	—	$163 – $318
12	Ambetter facility · case rate · outpatient	1	$163	$163	—	—	—	$163 – $163
13	Medicaid facility · case rate · outpatient	1	$163	$163	—	—	—	$163 – $163
14	Molina facility · case rate · outpatient	1	$240	$240	$77	32%	—	$163 – $318

← Hospitals reporting APC 0704 · Snapshot 20261111T120946Z-9134e7f7