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Payers and negotiated rates for APC 0769 | medprice.ai

APC 0769

In111 ibritumomab, dx

Payers reporting APC 0769

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Payer pricing summary

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Low

$417

Average

$808

Median

$798

High

$1.7k

Payer rate distribution

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#
1	Aetna facility · fee schedule · outpatient · +1 other terms	5	$822	$817	$10	1%	—	$798 – $822
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$1.7k	$1.8k	$826	47%	—	$742 – $3.0k
3	Humana facility · fee schedule · outpatient · +1 other terms	5	$826	$825	$2	0%	—	$822 – $826
4	Tricare facility · fee schedule · outpatient	5	$798	$798	—	—	—	$798 – $798
5	UnitedHealthcare facility · fee schedule · outpatient · +1 other terms	5	$798	$798	—	—	—	$798 – $798
6	WellCare facility · fee schedule · outpatient	5	$822	$820	$14	2%	—	$798 – $838
7	Sanford Health Plan case rate · outpatient	2	$1.1k	$1.1k	$120	11%	—	$967 – $1.3k
8	Aetna Better Health facility · case rate · outpatient	1	$616	$616	$198	32%	—	$417 – $814
9	Ambetter facility · case rate · outpatient	1	$417	$417	—	—	—	$417 – $417
10	Medicaid facility · case rate · outpatient	1	$417	$417	—	—	—	$417 – $417
11	Molina facility · case rate · outpatient	1	$616	$616	$198	32%	—	$417 – $814

← Hospitals reporting APC 0769 · Snapshot 20261111T120946Z-9134e7f7