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Payers and negotiated rates for APC 09174 | medprice.ai

APC 09174

Inj, durolane 1 mg

Payers reporting APC 09174

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Payer pricing summary

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Low

$7

Average

$208

Median

$26

High

$693

Payer rate distribution

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Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +1 other terms	81	$6	$6	$0	4%	—	$5 – $7
2	Caresource fee schedule · outpatient	15	$7	$7	—	—	—	$7 – $7
3	Blue Cross Blue Shield fee schedule · outpatient	6	$7	$7	—	—	—	$7 – $7
4	UnitedHealthcare facility · fee schedule · outpatient · +1 other terms	6	$191	$206	$202	98%	—	$7 – $468
5	Carefirst facility · fee schedule · outpatient	3	$7	$7	—	—	—	$7 – $7
6	Medicare facility · fee schedule · outpatient	3	$374	$374	—	—	—	$374 – $374
7	Tricare facility · fee schedule · outpatient	3	$7	$7	—	—	—	$7 – $7
8	Aetna facility · fee schedule · outpatient	2	$7	$7	—	—	—	$7 – $7
9	Ambetter facility · fee schedule · outpatient	2	$693	$693	—	—	—	$693 – $693
10	Amerihealth Caritas facility · fee schedule · outpatient	2	$590	$590	$215	37%	—	$374 – $805
11	Cigna facility · fee schedule · outpatient	2	$374	$374	—	—	—	$374 – $374
12	WellCare facility · fee schedule · outpatient	2	$374	$374	—	—	—	$374 – $374
13	Kaiser facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7

← Hospitals reporting APC 09174 · Snapshot 20261111T120946Z-9134e7f7