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Payers and negotiated rates for APC 0721 | medprice.ai

APC 0721

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Payers reporting APC 0721

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Payer pricing summary

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Low

$12

Average

$25

Median

$23

High

$55

Payer rate distribution

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#
1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$24	$24	$0	1%	—	$23 – $24
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$58	$61	$20	33%	—	$24 – $88
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$24	$24	$0	0%	—	$24 – $24
4	Tricare facility · fee schedule · outpatient	5	$23	$23	—	—	—	$23 – $23
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$23	$23	—	—	—	$23 – $23
6	WellCare facility · fee schedule · outpatient	5	$35	$35	$1	2%	—	$34 – $36
7	Cigna case rate · outpatient	2	$23	$23	—	—	—	$23 – $23
8	Excellus case rate · outpatient	2	$23	$23	—	—	—	$23 – $23
9	Highmark case rate · outpatient	2	$23	$23	—	—	—	$23 – $23
10	Sanford Health Plan case rate · outpatient	2	$33	$33	$3	11%	—	$28 – $39
11	Aetna Better Health facility · case rate · outpatient	1	$18	$18	$6	32%	—	$12 – $24
12	Ambetter facility · case rate · outpatient	1	$12	$12	—	—	—	$12 – $12
13	Medicaid facility · case rate · outpatient	1	$12	$12	—	—	—	$12 – $12
14	Molina facility · case rate · outpatient	1	$18	$18	$6	32%	—	$12 – $24

← Hospitals reporting APC 0721 · Snapshot 20261111T120946Z-9134e7f7