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Payers and negotiated rates for APC 942 | medprice.ai

APC 942

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Payers reporting APC 942

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Payer pricing summary

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Low

$41

Average

$44

Median

$41

High

$71

Payer rate distribution

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1	Humana fee schedule · outpatient	16	$41	$41	$1	1%	—	$39 – $42
2	UnitedHealthcare fee schedule · outpatient	16	$42	$41	$0	1%	—	$41 – $42
3	Aetna fee schedule · outpatient	15	$41	$41	$0	1%	—	$40 – $42
4	WellCare fee schedule · outpatient	14	$43	$43	$0	1%	—	$42 – $43
5	Devoted fee schedule · outpatient	13	$41	$41	—	—	—	$41 – $41
6	Blue Cross Blue Shield fee schedule · outpatient	12	$41	$41	$0	1%	—	$41 – $42
7	Cigna Healthspring fee schedule · outpatient	12	$41	$41	$1	2%	—	$41 – $44
8	Superior Healthplan fee schedule · outpatient	9	$43	$43	—	—	—	$43 – $43
9	Molina fee schedule · outpatient	8	$44	$44	—	—	—	$44 – $44
10	Amerihealth Caritas fee schedule · outpatient	3	$46	$46	—	—	—	$46 – $46
11	Optum fee schedule · outpatient	2	$71	$71	$31	43%	—	$41 – $102
12	Anthem fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
13	Clover fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43

← Hospitals reporting APC 942 · Snapshot 20261112T181611Z-3fa9fb76