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Payers and negotiated rates for APC 0770 | medprice.ai

APC 0770

In111 oxyquinoline

Payers reporting APC 0770

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Payer pricing summary

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Low

$404

Average

$800

Median

$797

High

$1.7k

Payer rate distribution

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Filter by billing class

#
1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$796	$791	$9	1%	—	$773 – $796
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$1.6k	$1.7k	$800	47%	—	$719 – $2.9k
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$800	$799	$2	0%	—	$796 – $800
4	Tricare facility · fee schedule · outpatient	5	$773	$773	—	—	—	$773 – $773
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$773	$773	—	—	—	$773 – $773
6	WellCare facility · fee schedule · outpatient	5	$796	$794	$13	2%	—	$773 – $811
7	Cigna case rate · outpatient	2	$831	$831	—	—	—	$831 – $831
8	Excellus case rate · outpatient	2	$831	$831	—	—	—	$831 – $831
9	Highmark case rate · outpatient	2	$831	$831	—	—	—	$831 – $831
10	Sanford Health Plan case rate · outpatient	2	$1.1k	$1.1k	$116	11%	—	$936 – $1.3k
11	Aetna Better Health facility · case rate · outpatient	1	$596	$596	$192	32%	—	$404 – $788
12	Ambetter facility · case rate · outpatient	1	$404	$404	—	—	—	$404 – $404
13	Medicaid facility · case rate · outpatient	1	$404	$404	—	—	—	$404 – $404
14	Molina facility · case rate · outpatient	1	$596	$596	$192	32%	—	$404 – $788

← Hospitals reporting APC 0770 · Snapshot 20261111T120946Z-9134e7f7