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Payers and negotiated rates for APC 0819 | medprice.ai

APC 0819

Inj, alyglo, 500 mg

Payers reporting APC 0819

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Payer pricing summary

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Low

$68

Average

$161

Median

$130

High

$511

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$134	$133	$2	1%	—	$130 – $134
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$328	$342	$114	33%	—	$137 – $494
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$135	$135	$0	0%	—	$134 – $135
4	Tricare facility · fee schedule · outpatient	5	$130	$130	—	—	—	$130 – $130
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$130	$130	—	—	—	$130 – $130
6	WellCare facility · fee schedule · outpatient	5	$512	$511	$9	2%	—	$497 – $522
7	Cigna case rate · outpatient	2	$130	$130	—	—	—	$130 – $130
8	Excellus case rate · outpatient	2	$130	$130	—	—	—	$130 – $130
9	Highmark case rate · outpatient	2	$130	$130	—	—	—	$130 – $130
10	Sanford Health Plan case rate · outpatient	2	$187	$187	$20	11%	—	$159 – $219
11	Aetna Better Health facility · case rate · outpatient	1	$100	$100	$32	32%	—	$68 – $133
12	Ambetter facility · case rate · outpatient	1	$68	$68	—	—	—	$68 – $68
13	Medicaid facility · case rate · outpatient	1	$68	$68	—	—	—	$68 – $68
14	Molina facility · case rate · outpatient	1	$100	$100	$32	32%	—	$68 – $133

← Hospitals reporting APC 0819 · Snapshot 20261111T120946Z-9134e7f7