APC CASE-G0463

Hospital outpt clinic visit|SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF THE PROCEDURE OR OTHER SERVICE

Payers reporting APC CASE-G0463

Low

$128

Average

$129

Median

$128

High

$130

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#
1	UnitedHealthcare other · outpatient	4	$128	$128	$3	2%	2,770–2,797	$126 – $132
2	Aetna other · outpatient	4	$128	$128	$3	2%	651	$126 – $132
3	Caresource other · outpatient	4	$130	$130	$2	2%	243	$128 – $135
4	Humana other · outpatient	4	$128	$128	$3	2%	223	$126 – $132