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Payers and negotiated rates for APC 0728 | medprice.ai

APC 0728

Inj, mirikizumab-mrkz, 1 mg

Payers reporting APC 0728

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Payer pricing summary

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Low

$23

Average

$44

Median

$43

High

$86

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$44	$44	$1	1%	—	$43 – $44
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$91	$95	$45	47%	—	$40 – $163
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$45	$45	$0	0%	—	$44 – $45
4	Tricare facility · fee schedule · outpatient	5	$43	$43	—	—	—	$43 – $43
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$43	$43	—	—	—	$43 – $43
6	WellCare facility · fee schedule · outpatient	5	$44	$44	$1	2%	—	$43 – $45
7	Cigna case rate · outpatient	2	$43	$43	—	—	—	$43 – $43
8	Excellus case rate · outpatient	2	$43	$43	—	—	—	$43 – $43
9	Highmark case rate · outpatient	2	$43	$43	—	—	—	$43 – $43
10	Sanford Health Plan case rate · outpatient	2	$69	$69	$7	11%	—	$58 – $81
11	Aetna Better Health facility · case rate · outpatient	1	$33	$33	$11	32%	—	$23 – $44
12	Ambetter facility · case rate · outpatient	1	$23	$23	—	—	—	$23 – $23
13	Medicaid facility · case rate · outpatient	1	$23	$23	—	—	—	$23 – $23
14	Molina facility · case rate · outpatient	1	$33	$33	$11	32%	—	$23 – $44

← Hospitals reporting APC 0728 · Snapshot 20261111T120946Z-9134e7f7