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Payers and negotiated rates for APC 0775 | medprice.ai

APC 0775

Technetium tc99m arcitumomab

Payers reporting APC 0775

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Payer pricing summary

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Low

$423

Average

$820

Median

$810

High

$1.7k

Payer rate distribution

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#
1	Aetna facility · fee schedule · outpatient · +1 other terms	5	$834	$829	$10	1%	—	$810 – $834
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$1.7k	$1.8k	$838	47%	—	$753 – $3.1k
3	Humana facility · fee schedule · outpatient · +1 other terms	5	$838	$837	$2	0%	—	$834 – $838
4	Tricare facility · fee schedule · outpatient	5	$810	$810	—	—	—	$810 – $810
5	UnitedHealthcare facility · fee schedule · outpatient · +1 other terms	5	$810	$810	—	—	—	$810 – $810
6	WellCare facility · fee schedule · outpatient	5	$834	$832	$14	2%	—	$810 – $850
7	Sanford Health Plan case rate · outpatient	2	$1.2k	$1.2k	$122	11%	—	$980 – $1.4k
8	Aetna Better Health facility · case rate · outpatient	1	$625	$625	$201	32%	—	$423 – $826
9	Ambetter facility · case rate · outpatient	1	$423	$423	—	—	—	$423 – $423
10	Medicaid facility · case rate · outpatient	1	$423	$423	—	—	—	$423 – $423
11	Molina facility · case rate · outpatient	1	$625	$625	$201	32%	—	$423 – $826

← Hospitals reporting APC 0775 · Snapshot 20261111T120946Z-9134e7f7