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Payers and negotiated rates for APC 0715 | medprice.ai

APC 0715

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Payers reporting APC 0715

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Payer pricing summary

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Low

$49

Average

$222

Median

$228

High

$540

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$235	$234	$3	1%	—	$228 – $235
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$575	$598	$200	33%	—	$240 – $865
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$236	$236	$0	0%	—	$235 – $236
4	Tricare facility · fee schedule · outpatient	5	$228	$228	—	—	—	$228 – $228
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$228	$228	—	—	—	$228 – $228
6	WellCare facility · fee schedule · outpatient	5	$49	$49	$1	2%	—	$47 – $50
7	Cigna case rate · outpatient	2	$228	$228	—	—	—	$228 – $228
8	Excellus case rate · outpatient	2	$228	$228	—	—	—	$228 – $228
9	Highmark case rate · outpatient	2	$228	$228	—	—	—	$228 – $228
10	Sanford Health Plan case rate · outpatient	2	$329	$329	$35	11%	—	$279 – $384
11	Aetna Better Health facility · case rate · outpatient	1	$176	$176	$57	32%	—	$119 – $233
12	Ambetter facility · case rate · outpatient	1	$119	$119	—	—	—	$119 – $119
13	Medicaid facility · case rate · outpatient	1	$119	$119	—	—	—	$119 – $119
14	Molina facility · case rate · outpatient	1	$176	$176	$57	32%	—	$119 – $233

← Hospitals reporting APC 0715 · Snapshot 20261111T120946Z-9134e7f7