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Payers and negotiated rates for APC 0738 | medprice.ai

APC 0738

Rasburicase

Payers reporting APC 0738

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Payer pricing summary

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Low

$197

Average

$450

Median

$378

High

$1.4k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	2	$378	$378	—	—	2–20	$378 – $378
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$389	$387	$5	1%	—	$378 – $389
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$823	$858	$380	44%	—	$351 – $1.4k
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$391	$390	$1	0%	—	$389 – $391
5	Tricare facility · fee schedule · outpatient	5	$378	$378	—	—	—	$378 – $378
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$378	$378	—	—	—	$378 – $378
7	WellCare facility · fee schedule · outpatient	5	$389	$388	$7	2%	—	$378 – $396
8	Cigna case rate · outpatient	2	$378	$378	—	—	—	$378 – $378
9	Highmark case rate · outpatient	2	$378	$378	—	—	—	$378 – $378
10	Sanford Health Plan case rate · outpatient · +1 other terms	2	$538	$538	$57	11%	—	$456 – $628
11	Aetna Better Health facility · case rate · outpatient	1	$291	$291	$94	32%	—	$197 – $385
12	Ambetter facility · case rate · outpatient	1	$197	$197	—	—	—	$197 – $197
13	Medicaid facility · case rate · outpatient	1	$197	$197	—	—	—	$197 – $197
14	Molina facility · case rate · outpatient	1	$291	$291	$94	32%	—	$197 – $385

← Hospitals reporting APC 0738 · Snapshot 20261111T120946Z-9134e7f7