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Payers and negotiated rates for APC 0723 | medprice.ai

APC 0723

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Payers reporting APC 0723

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Payer pricing summary

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Low

$18

Average

$81

Median

$34

High

$730

Payer rate distribution

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#
1	Excellus case rate · outpatient	2	$34	$34	—	—	2–20	$34 – $34
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$35	$35	$0	1%	—	$34 – $35
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	5	$77	$80	$33	42%	—	$32 – $128
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$35	$35	$0	0%	—	$35 – $35
5	Tricare facility · fee schedule · outpatient	5	$34	$34	—	—	—	$34 – $34
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$34	$34	—	—	—	$34 – $34
7	WellCare facility · fee schedule · outpatient	5	$35	$35	$1	2%	—	$34 – $36
8	Cigna case rate · outpatient	2	$34	$34	—	—	—	$34 – $34
9	Highmark case rate · outpatient	2	$34	$34	—	—	—	$34 – $34
10	Sanford Health Plan case rate · outpatient	2	$48	$48	$5	11%	—	$41 – $56
11	Aetna Better Health facility · case rate · outpatient	1	$26	$26	$8	32%	—	$18 – $35
12	Ambetter facility · case rate · outpatient	1	$18	$18	—	—	—	$18 – $18
13	Medicaid facility · case rate · outpatient	1	$18	$18	—	—	—	$18 – $18
14	Molina facility · case rate · outpatient	1	$26	$26	$8	32%	—	$18 – $35

← Hospitals reporting APC 0723 · Snapshot 20261111T120946Z-9134e7f7