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Payers and negotiated rates for APC 0840 | medprice.ai

APC 0840

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Payers reporting APC 0840

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Payer pricing summary

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Low

$50

Average

$97

Median

$96

High

$202

Payer rate distribution

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#
1	Excellus case rate · outpatient	2	$96	$96	—	—	3–30	$96 – $96
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$99	$98	$1	1%	—	$96 – $99
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$203	$212	$99	47%	—	$89 – $363
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$99	$99	$0	0%	—	$99 – $99
5	Tricare facility · fee schedule · outpatient	5	$96	$96	—	—	—	$96 – $96
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$96	$96	—	—	—	$96 – $96
7	WellCare facility · fee schedule · outpatient	5	$98	$82	$31	38%	—	$19 – $100
8	Cigna case rate · outpatient	2	$96	$96	—	—	—	$96 – $96
9	Highmark case rate · outpatient	2	$96	$96	—	—	—	$96 – $96
10	Sanford Health Plan case rate · outpatient	2	$154	$154	$16	11%	—	$131 – $180
11	Aetna Better Health facility · case rate · outpatient	1	$74	$74	$24	32%	—	$50 – $98
12	Ambetter facility · case rate · outpatient	1	$50	$50	—	—	—	$50 – $50
13	Medicaid facility · case rate · outpatient	1	$50	$50	—	—	—	$50 – $50
14	Molina facility · case rate · outpatient	1	$74	$74	$24	32%	—	$50 – $98

← Hospitals reporting APC 0840 · Snapshot 20261111T120946Z-9134e7f7