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Payers and negotiated rates for APC 0767 | medprice.ai

APC 0767

Inj, nogapendekin pmln 1 mcg

Payers reporting APC 0767

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Payer pricing summary

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Low

$50

Average

$95

Median

$95

High

$185

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$98	$97	$1	1%	—	$95 – $98
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$200	$210	$98	47%	—	$88 – $359
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$98	$98	$0	0%	—	$98 – $98
4	Tricare facility · fee schedule · outpatient	5	$95	$95	—	—	—	$95 – $95
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$95	$95	—	—	—	$95 – $95
6	WellCare facility · fee schedule · outpatient	5	$98	$97	$2	2%	—	$95 – $99
7	Cigna case rate · outpatient	2	$95	$95	—	—	—	$95 – $95
8	Excellus case rate · outpatient	2	$95	$95	—	—	—	$95 – $95
9	Highmark case rate · outpatient	2	$95	$95	—	—	—	$95 – $95
10	Sanford Health Plan case rate · outpatient	2	$135	$135	$14	11%	—	$114 – $157
11	Aetna Better Health facility · case rate · outpatient	1	$73	$73	$24	32%	—	$50 – $97
12	Ambetter facility · case rate · outpatient	1	$50	$50	—	—	—	$50 – $50
13	Medicaid facility · case rate · outpatient	1	$50	$50	—	—	—	$50 – $50
14	Molina facility · case rate · outpatient	1	$73	$73	$24	32%	—	$50 – $97

← Hospitals reporting APC 0767 · Snapshot 20261111T120946Z-9134e7f7