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Payers and negotiated rates for APC 0718 | medprice.ai

APC 0718

Inj, carmustine (accord)

Payers reporting APC 0718

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Payer pricing summary

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Low

$136

Average

$264

Median

$260

High

$614

Payer rate distribution

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#
1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$267	$266	$3	1%	—	$260 – $267
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$655	$681	$227	33%	—	$273 – $984
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$269	$269	$1	0%	—	$267 – $269
4	Tricare facility · fee schedule · outpatient	5	$260	$260	—	—	—	$260 – $260
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$260	$260	—	—	—	$260 – $260
6	WellCare facility · fee schedule · outpatient	5	$267	$220	$97	44%	—	$26 – $273
7	Cigna case rate · outpatient	2	$260	$260	—	—	—	$260 – $260
8	Excellus case rate · outpatient	2	$260	$260	—	—	—	$260 – $260
9	Highmark case rate · outpatient	2	$260	$260	—	—	—	$260 – $260
10	Sanford Health Plan case rate · outpatient	2	$371	$371	$39	11%	—	$315 – $433
11	Aetna Better Health facility · case rate · outpatient	1	$200	$200	$65	32%	—	$136 – $265
12	Ambetter facility · case rate · outpatient	1	$136	$136	—	—	—	$136 – $136
13	Medicaid facility · case rate · outpatient	1	$136	$136	—	—	—	$136 – $136
14	Molina facility · case rate · outpatient	1	$200	$200	$65	32%	—	$136 – $265

← Hospitals reporting APC 0718 · Snapshot 20261111T120946Z-9134e7f7