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Payers and negotiated rates for APC 0774 | medprice.ai

APC 0774

Tc99m bicisate

Payers reporting APC 0774

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Payer pricing summary

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Low

$358

Average

$725

Median

$712

High

$1.4k

Payer rate distribution

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Filter by billing class

#
1	Aetna facility · fee schedule · outpatient · +3 other terms	5	$704	$700	$8	1%	—	$684 – $704
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$1.4k	$1.5k	$708	47%	—	$636 – $2.6k
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$708	$707	$1	0%	—	$704 – $708
4	Tricare facility · fee schedule · outpatient	5	$684	$684	—	—	—	$684 – $684
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$684	$684	—	—	—	$684 – $684
6	WellCare facility · fee schedule · outpatient	5	$704	$703	$12	2%	—	$684 – $718
7	Cigna case rate · outpatient	2	$776	$776	—	—	—	$776 – $776
8	Excellus case rate · outpatient	2	$776	$776	—	—	—	$776 – $776
9	Highmark case rate · outpatient	2	$776	$776	—	—	—	$776 – $776
10	Sanford Health Plan case rate · outpatient	2	$978	$978	$103	11%	—	$828 – $1.1k
11	Aetna Better Health facility · case rate · outpatient	1	$528	$528	$170	32%	—	$358 – $697
12	Ambetter facility · case rate · outpatient	1	$358	$358	—	—	—	$358 – $358
13	Medicaid facility · case rate · outpatient	1	$358	$358	—	—	—	$358 – $358
14	Molina facility · case rate · outpatient	1	$528	$528	$170	32%	—	$358 – $697

← Hospitals reporting APC 0774 · Snapshot 20261111T120946Z-9134e7f7