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Payers and negotiated rates for APC 0964 | medprice.ai

APC 0964

Albumin (human), 25%, 20 ml

Payers reporting APC 0964

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Payer pricing summary

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Low

$11

Average

$32

Median

$21

High

$120

Payer rate distribution

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1	Aetna facility · fee schedule · outpatient · +3 other terms	5	$22	$22	$0	1%	—	$21 – $22
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	5	$54	$56	$19	33%	—	$22 – $80
3	Humana facility · fee schedule · outpatient · +3 other terms	5	$22	$22	$0	0%	—	$22 – $22
4	Tricare facility · fee schedule · outpatient	5	$21	$21	—	—	—	$21 – $21
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	5	$21	$21	—	—	—	$21 – $21
6	WellCare facility · fee schedule · outpatient	5	$76	$76	$1	2%	—	$74 – $77
7	Cigna case rate · outpatient	2	$21	$21	—	—	—	$21 – $21
8	Excellus case rate · outpatient	2	$21	$21	—	—	—	$21 – $21
9	Highmark case rate · outpatient	2	$21	$21	—	—	—	$21 – $21
10	Sanford Health Plan case rate · outpatient	2	$30	$30	$3	11%	—	$26 – $35
11	Aetna Better Health facility · case rate · outpatient	1	$16	$16	$5	32%	—	$11 – $22
12	Ambetter facility · case rate · outpatient	1	$11	$11	—	—	—	$11 – $11
13	Medicaid facility · case rate · outpatient	1	$11	$11	—	—	—	$11 – $11
14	Molina facility · case rate · outpatient	1	$16	$16	$5	32%	—	$11 – $22

← Hospitals reporting APC 0964 · Snapshot 20261111T120946Z-9134e7f7