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Payers and negotiated rates for APC 0734 | medprice.ai

APC 0734

Inj, levothyroxine, freskabi

Payers reporting APC 0734

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Payer pricing summary

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Low

$4

Average

$18

Median

$7

High

$170

Payer rate distribution

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#
1	Excellus case rate · outpatient	2	$7	$7	—	—	2–20	$7 – $7
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$7	$7	$0	1%	—	$7 – $7
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	5	$14	$15	$7	47%	—	$6 – $26
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$7	$7	$0	0%	—	$7 – $7
5	Tricare facility · fee schedule · outpatient	5	$7	$7	—	—	—	$7 – $7
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$7	$7	—	—	—	$7 – $7
7	WellCare facility · fee schedule · outpatient	5	$7	$7	$0	2%	—	$7 – $7
8	Cigna case rate · outpatient	2	$7	$7	—	—	—	$7 – $7
9	Highmark case rate · outpatient	2	$7	$7	—	—	—	$7 – $7
10	Sanford Health Plan case rate · outpatient	2	$10	$10	$1	11%	—	$9 – $12
11	Aetna Better Health facility · case rate · outpatient	1	$5	$5	$2	32%	—	$4 – $7
12	Ambetter facility · case rate · outpatient	1	$4	$4	—	—	—	$4 – $4
13	Medicaid facility · case rate · outpatient	1	$4	$4	—	—	—	$4 – $4
14	Molina facility · case rate · outpatient	1	$5	$5	$2	32%	—	$4 – $7

← Hospitals reporting APC 0734 · Snapshot 20261111T120946Z-9134e7f7