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Payers and negotiated rates for APC 0852 | medprice.ai

APC 0852

Inj, eculizumab-aagh, 2 mg

Payers reporting APC 0852

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Payer pricing summary

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Low

$16

Average

$33

Median

$31

High

$75

Payer rate distribution

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1	Excellus case rate · outpatient	2	$31	$31	—	—	2–20	$31 – $31
2	Aetna facility · fee schedule · outpatient · +2 other terms	5	$32	$32	$0	1%	—	$31 – $32
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$79	$79	$28	36%	—	$31 – $119
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$32	$32	$0	0%	—	$32 – $32
5	Tricare facility · fee schedule · outpatient	5	$31	$31	—	—	—	$31 – $31
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$31	$31	—	—	—	$31 – $31
7	WellCare facility · fee schedule · outpatient	5	$42	$41	$1	2%	—	$40 – $42
8	Cigna case rate · outpatient	2	$31	$31	—	—	—	$31 – $31
9	Highmark case rate · outpatient	2	$31	$31	—	—	—	$31 – $31
10	Sanford Health Plan case rate · outpatient	2	$45	$45	$5	11%	—	$38 – $52
11	Aetna Better Health facility · case rate · outpatient	1	$24	$24	$8	32%	—	$16 – $32
12	Ambetter facility · case rate · outpatient	1	$16	$16	—	—	—	$16 – $16
13	Medicaid facility · case rate · outpatient	1	$16	$16	—	—	—	$16 – $16
14	Molina facility · case rate · outpatient	1	$24	$24	$8	32%	—	$16 – $32

← Hospitals reporting APC 0852 · Snapshot 20261111T120946Z-9134e7f7