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Payers and negotiated rates for APC 0742 | medprice.ai

APC 0742

Outpatient Services

Payers reporting APC 0742

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Payer pricing summary

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Low

$31

Average

$102

Median

$58

High

$673

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$60	$60	$1	1%	—	$58 – $60
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$123	$129	$60	47%	—	$54 – $221
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$60	$60	$0	0%	—	$60 – $60
4	Tricare facility · fee schedule · outpatient	5	$58	$58	—	—	—	$58 – $58
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$58	$58	—	—	—	$58 – $58
6	WellCare facility · fee schedule · outpatient	5	$674	$673	$11	2%	—	$655 – $687
7	Cigna case rate · outpatient	2	$58	$58	—	—	—	$58 – $58
8	Excellus case rate · outpatient	2	$58	$58	—	—	—	$58 – $58
9	Highmark case rate · outpatient	2	$58	$58	—	—	—	$58 – $58
10	Sanford Health Plan case rate · outpatient	2	$83	$83	$9	11%	—	$71 – $97
11	Aetna Better Health facility · case rate · outpatient	1	$45	$45	$14	32%	—	$31 – $59
12	Ambetter facility · case rate · outpatient	1	$31	$31	—	—	—	$31 – $31
13	Medicaid facility · case rate · outpatient	1	$31	$31	—	—	—	$31 – $31
14	Molina facility · case rate · outpatient	1	$45	$45	$14	32%	—	$31 – $59

← Hospitals reporting APC 0742 · Snapshot 20261111T120946Z-9134e7f7