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Payers and negotiated rates for APC 0887 | medprice.ai

APC 0887

Azathioprine parenteral

Payers reporting APC 0887

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Payer pricing summary

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Low

$133

Average

$617

Median

$254

High

$5.3k

Payer rate distribution

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#
1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$262	$260	$3	1%	—	$254 – $262
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms	5	$641	$666	$223	33%	—	$267 – $963
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$263	$263	$1	0%	—	$262 – $263
4	Tricare facility · fee schedule · outpatient	5	$254	$254	—	—	—	$254 – $254
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$254	$254	—	—	—	$254 – $254
6	WellCare facility · fee schedule · outpatient	5	$5.3k	$5.3k	$88	2%	—	$5.1k – $5.4k
7	Cigna case rate · outpatient	2	$254	$254	—	—	—	$254 – $254
8	Excellus case rate · outpatient	2	$254	$254	—	—	—	$254 – $254
9	Highmark case rate · outpatient	2	$254	$254	—	—	—	$254 – $254
10	Sanford Health Plan case rate · outpatient	2	$322	$322	$34	11%	—	$272 – $375
11	Aetna Better Health facility · case rate · outpatient	1	$196	$196	$63	32%	—	$133 – $259
12	Ambetter facility · case rate · outpatient	1	$133	$133	—	—	—	$133 – $133
13	Medicaid facility · case rate · outpatient	1	$133	$133	—	—	—	$133 – $133
14	Molina facility · case rate · outpatient	1	$196	$196	$63	32%	—	$133 – $259

← Hospitals reporting APC 0887 · Snapshot 20261111T120946Z-9134e7f7