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Payers and negotiated rates for APC 0752 | medprice.ai

APC 0752

Dactinomycin injection

Payers reporting APC 0752

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Payer pricing summary

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Low

$57

Average

$604

Median

$328

High

$3.8k

Payer rate distribution

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#
1	Excellus case rate · outpatient	2	$328	$328	—	—	24–42	$328 – $328
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$338	$336	$4	1%	—	$328 – $338
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	5	$828	$824	$295	36%	—	$328 – $1.2k
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$340	$340	$1	0%	—	$338 – $340
5	Tricare facility · fee schedule · outpatient	5	$328	$328	—	—	—	$328 – $328
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$328	$328	—	—	—	$328 – $328
7	WellCare facility · fee schedule · outpatient	5	$57	$57	$1	2%	—	$56 – $58
8	Cigna case rate · outpatient · +1 other terms	2	$328	$328	—	—	—	$328 – $328
9	Highmark case rate · outpatient	2	$328	$328	—	—	—	$328 – $328
10	Sanford Health Plan case rate · outpatient	2	$433	$433	$46	11%	—	$367 – $506
11	Aetna Better Health facility · case rate · outpatient	1	$253	$253	$82	32%	—	$172 – $335
12	Ambetter facility · case rate · outpatient	1	$172	$172	—	—	—	$172 – $172
13	Medicaid facility · case rate · outpatient	1	$172	$172	—	—	—	$172 – $172
14	Molina facility · case rate · outpatient	1	$253	$253	$82	32%	—	$172 – $335

← Hospitals reporting APC 0752 · Snapshot 20261111T120946Z-9134e7f7