APC 00759
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Naltrexone, depot form
Low
$4
Average
$619
Median
$12
High
$3.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 543.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 86 | $4 | $4 | $0 | 4% | — | $3 – $4 |
| 2 | Caresource fee schedule · outpatient | 20 | $4 | $4 | $0 | 1% | — | $4 – $4 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 11 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Medicare facility · fee schedule · outpatient · +1 other terms | 7 | $4 | $576 | $809 | 140% | — | $4 – $1.7k |
| 5 | Aetna fee schedule · outpatient · +2 other terms | 5 | $4 | $4 | $0 | 0% | — | $4 – $4 |
| 6 | Clover fee schedule · outpatient | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Medica facility · fee schedule · outpatient | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Ambetter facility · fee schedule · outpatient | 2 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 12 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $2.7k | $2.7k | $989 | 37% | — | $1.7k – $3.7k |
| 13 | Bcbs Ca facility · fee schedule · outpatient | 2 | $13 | $12 | $6 | 46% | — | $4 – $16 |
| 14 | Cigna facility · fee schedule · outpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | MultiPlan facility · other · outpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
← Hospitals reporting APC 00759 · Snapshot 20261111T120946Z-9134e7f7