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Payers and negotiated rates for APC 0835 | medprice.ai

APC 0835

Datopotamab deruxtecan, 1 mg

Payers reporting APC 0835

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Payer pricing summary

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Low

$27

Average

$437

Median

$52

High

$5.4k

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$53	$53	$1	1%	—	$52 – $53
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$109	$114	$53	47%	—	$48 – $195
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$53	$53	$0	0%	—	$53 – $53
4	Tricare facility · fee schedule · outpatient	5	$52	$52	—	—	—	$52 – $52
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$52	$52	—	—	—	$52 – $52
6	WellCare facility · fee schedule · outpatient	5	$5.5k	$5.4k	$91	2%	—	$5.3k – $5.6k
7	Cigna case rate · outpatient	2	$52	$52	—	—	—	$52 – $52
8	Excellus case rate · outpatient	2	$52	$52	—	—	—	$52 – $52
9	Highmark case rate · outpatient	2	$52	$52	—	—	—	$52 – $52
10	Sanford Health Plan case rate · outpatient	2	$72	$72	$8	11%	—	$61 – $84
11	Aetna Better Health facility · case rate · outpatient	1	$40	$40	$13	32%	—	$27 – $53
12	Ambetter facility · case rate · outpatient	1	$27	$27	—	—	—	$27 – $27
13	Medicaid facility · case rate · outpatient	1	$27	$27	—	—	—	$27 – $27
14	Molina facility · case rate · outpatient	1	$40	$40	$13	32%	—	$27 – $53

← Hospitals reporting APC 0835 · Snapshot 20261111T120946Z-9134e7f7