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Payers and negotiated rates for APC 0749 | medprice.ai

APC 0749

Inj travoprost intra impl

Payers reporting APC 0749

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Payer pricing summary

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Low

$102

Average

$222

Median

$196

High

$757

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$202	$200	$2	1%	—	$196 – $202
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	5	$494	$513	$171	33%	—	$206 – $742
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$203	$202	$0	0%	—	$202 – $203
4	Tricare facility · fee schedule · outpatient	5	$196	$196	—	—	—	$196 – $196
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$196	$196	—	—	—	$196 – $196
6	WellCare facility · fee schedule · outpatient	5	$202	$201	$3	2%	—	$196 – $206
7	Cigna case rate · outpatient	2	$196	$196	—	—	—	$196 – $196
8	Excellus case rate · outpatient	2	$196	$196	—	—	—	$196 – $196
9	Highmark case rate · outpatient	2	$196	$196	—	—	—	$196 – $196
10	Sanford Health Plan case rate · outpatient	2	$279	$279	$29	11%	—	$236 – $326
11	Aetna Better Health facility · case rate · outpatient	1	$151	$151	$49	32%	—	$102 – $200
12	Ambetter facility · case rate · outpatient	1	$102	$102	—	—	—	$102 – $102
13	Medicaid facility · case rate · outpatient	1	$102	$102	—	—	—	$102 – $102
14	Molina facility · case rate · outpatient	1	$151	$151	$49	32%	—	$102 – $200

← Hospitals reporting APC 0749 · Snapshot 20261111T120946Z-9134e7f7