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Payers and negotiated rates for APC 0943 | medprice.ai

APC 0943

Octagam injection

Payers reporting APC 0943

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Payer pricing summary

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Low

$25

Average

$48

Median

$48

High

$95

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +2 other terms	5	$49	$49	$1	1%	—	$48 – $49
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	5	$101	$105	$49	47%	—	$44 – $180
3	Humana facility · fee schedule · outpatient · +2 other terms	5	$49	$49	$0	0%	—	$49 – $49
4	Tricare facility · fee schedule · outpatient	5	$48	$48	—	—	—	$48 – $48
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$48	$48	—	—	—	$48 – $48
6	WellCare facility · fee schedule · outpatient	5	$49	$49	$1	2%	—	$48 – $50
7	Cigna case rate · outpatient	2	$48	$48	—	—	—	$48 – $48
8	Excellus case rate · outpatient	2	$48	$48	—	—	—	$48 – $48
9	Highmark case rate · outpatient	2	$48	$48	—	—	—	$48 – $48
10	Sanford Health Plan case rate · outpatient	2	$69	$69	$7	11%	—	$59 – $81
11	Aetna Better Health facility · case rate · outpatient	1	$37	$37	$12	32%	—	$25 – $48
12	Ambetter facility · case rate · outpatient	1	$25	$25	—	—	—	$25 – $25
13	Medicaid facility · case rate · outpatient	1	$25	$25	—	—	—	$25 – $25
14	Molina facility · case rate · outpatient	1	$37	$37	$12	32%	—	$25 – $48

← Hospitals reporting APC 0943 · Snapshot 20261111T120946Z-9134e7f7