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Payers and negotiated rates for APC 0894 | medprice.ai

APC 0894

Clinic Visit, Minor Procedure, Observation, or Diagnostic Ancillary Service

Payers reporting APC 0894

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Payer pricing summary

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Low

$21

Average

$135

Median

$144

High

$358

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$148	$147	$2	1%	—	$144 – $148
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms	5	$363	$378	$126	33%	—	$151 – $546
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$149	$149	$0	0%	—	$148 – $149
4	Tricare facility · fee schedule · outpatient	5	$144	$144	—	—	—	$144 – $144
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$144	$144	—	—	—	$144 – $144
6	WellCare facility · fee schedule · outpatient	5	$21	$21	$0	2%	—	$20 – $21
7	Cigna case rate · outpatient	2	$144	$144	—	—	—	$144 – $144
8	Excellus case rate · outpatient	2	$144	$144	—	—	—	$144 – $144
9	Highmark case rate · outpatient	2	$144	$144	—	—	—	$144 – $144
10	Aetna Better Health facility · case rate · outpatient	1	$111	$111	$36	32%	—	$75 – $147
11	Ambetter facility · case rate · outpatient	1	$75	$75	—	—	—	$75 – $75
12	Medicaid facility · case rate · outpatient	1	$75	$75	—	—	—	$75 – $75
13	Molina facility · case rate · outpatient	1	$111	$111	$36	32%	—	$75 – $147

← Hospitals reporting APC 0894 · Snapshot 20261112T181611Z-3fa9fb76