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Payers and negotiated rates for APC 0875 | medprice.ai

APC 0875

Euflexxa inj per dose

Payers reporting APC 0875

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Payer pricing summary

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Low

$59

Average

$157

Median

$112

High

$643

Payer rate distribution

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#
1	Medical Mutual facility · other · outpatient	1	$82	$82	—	—	1–10	$82 – $82
2	Aetna facility · fee schedule · outpatient · +4 other terms	5	$116	$115	$1	1%	—	$112 – $116
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	5	$284	$295	$98	33%	—	$118 – $426
4	Humana facility · fee schedule · outpatient · +2 other terms	5	$116	$116	$0	0%	—	$116 – $116
5	Tricare facility · fee schedule · outpatient	5	$112	$112	—	—	—	$112 – $112
6	UnitedHealthcare facility · fee schedule · outpatient · +5 other terms	5	$112	$112	—	—	—	$112 – $112
7	WellCare facility · fee schedule · outpatient	5	$118	$118	$2	2%	—	$115 – $120
8	Cigna case rate · outpatient · +2 other terms	2	$112	$112	—	—	—	$112 – $112
9	Excellus case rate · outpatient	2	$112	$112	—	—	—	$112 – $112
10	Highmark case rate · outpatient	2	$112	$112	—	—	—	$112 – $112
11	Sanford Health Plan case rate · outpatient	2	$164	$164	$17	11%	—	$139 – $191
12	Aetna Better Health facility · case rate · outpatient	1	$87	$87	$28	32%	—	$59 – $115
13	Ambetter facility · case rate · outpatient	1	$59	$59	—	—	—	$59 – $59
14	Medicaid facility · case rate · outpatient	1	$59	$59	—	—	—	$59 – $59
15	Molina facility · case rate · outpatient	1	$87	$87	$28	32%	—	$59 – $115

← Hospitals reporting APC 0875 · Snapshot 20261111T120946Z-9134e7f7