APC CASE-15272

HC App Skin Sub T/a/L Tot <100 Ea Adl 25

Payers reporting APC CASE-15272

Low

$366

Average

$407

Median

$418

High

$428

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#
1	Aetna other · outpatient	8	$476	$423	$301	71%	—	$120 – $741
2	Humana other · outpatient	8	$381	$366	$298	81%	—	$120 – $756
3	UnitedHealthcare other · outpatient	8	$576	$413	$301	73%	—	$120 – $741
4	Caresource other · outpatient	3	$428	$428	$305	71%	—	$123 – $735