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Payers and negotiated rates for APC 0813 | medprice.ai

APC 0813

Injection, imetelstat, 1 mg

Payers reporting APC 0813

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Payer pricing summary

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Low

$30

Average

$57

Median

$57

High

$115

Payer rate distribution

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1	Highmark case rate · outpatient	2	$57	$57	—	—	1–10	$57 – $57
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$59	$58	$1	1%	—	$57 – $59
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$121	$126	$59	47%	—	$53 – $216
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$59	$59	$0	0%	—	$59 – $59
5	Tricare facility · fee schedule · outpatient	5	$57	$57	—	—	—	$57 – $57
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$57	$57	—	—	—	$57 – $57
7	WellCare facility · fee schedule · outpatient	5	$59	$59	$1	2%	—	$57 – $60
8	Cigna case rate · outpatient	2	$57	$57	—	—	—	$57 – $57
9	Excellus case rate · outpatient	2	$57	$57	—	—	—	$57 – $57
10	Sanford Health Plan case rate · outpatient	2	$82	$82	$9	11%	—	$69 – $95
11	Aetna Better Health facility · case rate · outpatient	1	$44	$44	$14	32%	—	$30 – $58
12	Ambetter facility · case rate · outpatient	1	$30	$30	—	—	—	$30 – $30
13	Medicaid facility · case rate · outpatient	1	$30	$30	—	—	—	$30 – $30
14	Molina facility · case rate · outpatient	1	$44	$44	$14	32%	—	$30 – $58

← Hospitals reporting APC 0813 · Snapshot 20261111T120946Z-9134e7f7