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Payers and negotiated rates for APC 0842 | medprice.ai

APC 0842

Inj, melphalan (apotex) 1 mg

Payers reporting APC 0842

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Payer pricing summary

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Low

$34

Average

$67

Median

$65

High

$136

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$67	$66	$1	1%	—	$65 – $67
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$137	$143	$67	47%	—	$60 – $246
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$67	$67	$0	0%	—	$67 – $67
4	Tricare facility · fee schedule · outpatient	5	$65	$65	—	—	—	$65 – $65
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$65	$65	—	—	—	$65 – $65
6	WellCare facility · fee schedule · outpatient	5	$82	$82	$1	2%	—	$80 – $84
7	Cigna case rate · outpatient	2	$65	$65	—	—	—	$65 – $65
8	Excellus case rate · outpatient	2	$65	$65	—	—	—	$65 – $65
9	Highmark case rate · outpatient	2	$65	$65	—	—	—	$65 – $65
10	Sanford Health Plan case rate · outpatient	2	$93	$93	$10	11%	—	$78 – $108
11	Aetna Better Health facility · case rate · outpatient	1	$50	$50	$16	32%	—	$34 – $66
12	Ambetter facility · case rate · outpatient	1	$34	$34	—	—	—	$34 – $34
13	Medicaid facility · case rate · outpatient	1	$34	$34	—	—	—	$34 – $34
14	Molina facility · case rate · outpatient	1	$50	$50	$16	32%	—	$34 – $66

← Hospitals reporting APC 0842 · Snapshot 20261111T120946Z-9134e7f7