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Payers and negotiated rates for APC 0772 | medprice.ai

APC 0772

Inj, pegulicianine, 1 mg

Payers reporting APC 0772

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Payer pricing summary

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Low

$20

Average

$38

Median

$38

High

$78

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$39	$38	$0	1%	—	$38 – $39
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$82	$85	$38	44%	—	$35 – $142
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$39	$39	$0	0%	—	$39 – $39
4	Tricare facility · fee schedule · outpatient	5	$38	$38	—	—	—	$38 – $38
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$38	$38	—	—	—	$38 – $38
6	WellCare facility · fee schedule · outpatient	5	$39	$39	$1	2%	—	$38 – $39
7	Cigna case rate · outpatient	2	$38	$38	—	—	—	$38 – $38
8	Excellus case rate · outpatient	2	$38	$38	—	—	—	$38 – $38
9	Highmark case rate · outpatient	2	$38	$38	—	—	—	$38 – $38
10	Sanford Health Plan case rate · outpatient	2	$52	$52	$5	11%	—	$44 – $61
11	Aetna Better Health facility · case rate · outpatient	1	$29	$29	$9	32%	—	$20 – $38
12	Ambetter facility · case rate · outpatient	1	$20	$20	—	—	—	$20 – $20
13	Medicaid facility · case rate · outpatient	1	$20	$20	—	—	—	$20 – $20
14	Molina facility · case rate · outpatient	1	$29	$29	$9	32%	—	$20 – $38

← Hospitals reporting APC 0772 · Snapshot 20261111T120946Z-9134e7f7