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Payers and negotiated rates for APC 0812 | medprice.ai

APC 0812

Carmustine injection

Payers reporting APC 0812

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Payer pricing summary

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Low

$125

Average

$242

Median

$238

High

$582

Payer rate distribution

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#
1	Excellus case rate · outpatient	2	$238	$238	—	—	2–20	$238 – $238
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$246	$244	$3	1%	—	$238 – $246
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$601	$625	$209	33%	—	$250 – $904
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$247	$247	$0	0%	—	$246 – $247
5	Tricare facility · fee schedule · outpatient	5	$238	$238	—	—	—	$238 – $238
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$238	$238	—	—	—	$238 – $238
7	WellCare facility · fee schedule · outpatient	5	$267	$267	$4	2%	—	$260 – $273
8	Cigna case rate · outpatient	2	$238	$238	—	—	—	$238 – $238
9	Highmark case rate · outpatient	2	$238	$238	—	—	—	$238 – $238
10	Sanford Health Plan case rate · outpatient	2	$248	$248	$26	11%	—	$210 – $290
11	Aetna Better Health facility · case rate · outpatient	1	$184	$184	$59	32%	—	$125 – $243
12	Ambetter facility · case rate · outpatient	1	$125	$125	—	—	—	$125 – $125
13	Medicaid facility · case rate · outpatient	1	$125	$125	—	—	—	$125 – $125
14	Molina facility · case rate · outpatient	1	$184	$184	$59	32%	—	$125 – $243

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