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Payers and negotiated rates for APC 0821 | medprice.ai

APC 0821

Indigotindisulfonate sod 1mg

Payers reporting APC 0821

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Payer pricing summary

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Low

$5

Average

$22

Median

$10

High

$173

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$10	$10	$0	1%	—	$10 – $10
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$21	$22	$10	47%	—	$9 – $38
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$10	$10	$0	0%	—	$10 – $10
4	Tricare facility · fee schedule · outpatient	5	$10	$10	—	—	—	$10 – $10
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$10	$10	—	—	—	$10 – $10
6	WellCare facility · fee schedule · outpatient	5	$213	$173	$82	47%	—	$10 – $217
7	Cigna case rate · outpatient	2	$10	$10	—	—	—	$10 – $10
8	Excellus case rate · outpatient	2	$10	$10	—	—	—	$10 – $10
9	Highmark case rate · outpatient	2	$10	$10	—	—	—	$10 – $10
10	Sanford Health Plan case rate · outpatient	2	$14	$14	$2	11%	—	$12 – $17
11	Aetna Better Health facility · case rate · outpatient	1	$8	$8	$2	32%	—	$5 – $10
12	Ambetter facility · case rate · outpatient	1	$5	$5	—	—	—	$5 – $5
13	Medicaid facility · case rate · outpatient	1	$5	$5	—	—	—	$5 – $5
14	Molina facility · case rate · outpatient	1	$8	$8	$2	32%	—	$5 – $10

← Hospitals reporting APC 0821 · Snapshot 20261111T120946Z-9134e7f7