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Payers and negotiated rates for APC 0730 | medprice.ai

APC 0730

Inj melphalan (hepzato) 1 mg

Payers reporting APC 0730

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Payer pricing summary

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Low

$416

Average

$798

Median

$795

High

$1.6k

Payer rate distribution

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#
1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$819	$814	$10	1%	—	$795 – $819
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$1.7k	$1.8k	$823	47%	—	$739 – $3.0k
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$823	$822	$2	0%	—	$819 – $823
4	Tricare facility · fee schedule · outpatient	5	$795	$795	—	—	—	$795 – $795
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$795	$795	—	—	—	$795 – $795
6	WellCare facility · fee schedule · outpatient	5	$819	$817	$14	2%	—	$795 – $835
7	Cigna case rate · outpatient	2	$795	$795	—	—	—	$795 – $795
8	Excellus case rate · outpatient	2	$795	$795	—	—	—	$795 – $795
9	Highmark case rate · outpatient	2	$795	$795	—	—	—	$795 – $795
10	Sanford Health Plan case rate · outpatient	2	$1.1k	$1.1k	$119	11%	—	$954 – $1.3k
11	Aetna Better Health facility · case rate · outpatient	1	$613	$613	$198	32%	—	$416 – $811
12	Ambetter facility · case rate · outpatient	1	$416	$416	—	—	—	$416 – $416
13	Medicaid facility · case rate · outpatient	1	$416	$416	—	—	—	$416 – $416
14	Molina facility · case rate · outpatient	1	$613	$613	$198	32%	—	$416 – $811

← Hospitals reporting APC 0730 · Snapshot 20261111T120946Z-9134e7f7