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Payers and negotiated rates for APC 0737 | medprice.ai

APC 0737

Inj, cipaglucosidase, 5 mg

Payers reporting APC 0737

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Payer pricing summary

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Low

$48

Average

$91

Median

$91

High

$184

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$94	$93	$1	1%	—	$91 – $94
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$193	$202	$94	47%	—	$85 – $346
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$94	$94	$0	0%	—	$94 – $94
4	Tricare facility · fee schedule · outpatient	5	$91	$91	—	—	—	$91 – $91
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$91	$91	—	—	—	$91 – $91
6	WellCare facility · fee schedule · outpatient	5	$94	$94	$2	2%	—	$91 – $96
7	Cigna case rate · outpatient	2	$91	$91	—	—	—	$91 – $91
8	Excellus case rate · outpatient	2	$91	$91	—	—	—	$91 – $91
9	Highmark case rate · outpatient	2	$91	$91	—	—	—	$91 – $91
10	Sanford Health Plan case rate · outpatient	2	$128	$128	$14	11%	—	$109 – $150
11	Aetna Better Health facility · case rate · outpatient	1	$70	$70	$23	32%	—	$48 – $93
12	Ambetter facility · case rate · outpatient	1	$48	$48	—	—	—	$48 – $48
13	Medicaid facility · case rate · outpatient	1	$48	$48	—	—	—	$48 – $48
14	Molina facility · case rate · outpatient	1	$70	$70	$23	32%	—	$48 – $93

← Hospitals reporting APC 0737 · Snapshot 20261111T120946Z-9134e7f7