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Payers and negotiated rates for APC 0727 | medprice.ai

APC 0727

Inj, adzynma, 10 iu

Payers reporting APC 0727

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Payer pricing summary

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Low

$19

Average

$37

Median

$36

High

$74

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$37	$36	$0	1%	—	$36 – $37
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$78	$81	$36	44%	—	$33 – $135
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$37	$37	$0	0%	—	$37 – $37
4	Tricare facility · fee schedule · outpatient	5	$36	$36	—	—	—	$36 – $36
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$36	$36	—	—	—	$36 – $36
6	WellCare facility · fee schedule · outpatient	5	$53	$53	$1	2%	—	$51 – $54
7	Cigna case rate · outpatient	2	$36	$36	—	—	—	$36 – $36
8	Excellus case rate · outpatient	2	$36	$36	—	—	—	$36 – $36
9	Highmark case rate · outpatient	2	$36	$36	—	—	—	$36 – $36
10	Sanford Health Plan case rate · outpatient	2	$51	$51	$5	11%	—	$43 – $59
11	Aetna Better Health facility · case rate · outpatient	1	$27	$27	$9	32%	—	$19 – $36
12	Ambetter facility · case rate · outpatient	1	$19	$19	—	—	—	$19 – $19
13	Medicaid facility · case rate · outpatient	1	$19	$19	—	—	—	$19 – $19
14	Molina facility · case rate · outpatient	1	$27	$27	$9	32%	—	$19 – $36

← Hospitals reporting APC 0727 · Snapshot 20261111T120946Z-9134e7f7