APC CASE-67121

Rmvl Implt Matrl Posterior Segment Intraocular|LEFT SIDE

Payers reporting APC CASE-67121

Low

$2.2k

Average

$2.2k

Median

$2.2k

High

$2.2k

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#
1	Aetna other · outpatient	2	$2.2k	$2.2k	$24	1%	—	$2.2k – $2.2k
2	Humana other · outpatient	2	$2.2k	$2.2k	$14	1%	—	$2.2k – $2.2k
3	UnitedHealthcare other · outpatient	2	$2.2k	$2.2k	$14	1%	—	$2.2k – $2.2k
4	Caresource other · outpatient	1	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k