APC 01268
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
Xyntha inj
Low
$2
Average
$32
Median
$2
High
$429
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 1.3× 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 | 81 | $2 | $2 | $0 | 4% | — | $1 – $2 |
| 2 | Caresource fee schedule · outpatient | 15 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Aetna facility · fee schedule · outpatient | 5 | $2 | $2 | $0 | 4% | — | $1 – $2 |
| 5 | UnitedHealthcare facility · fee schedule · outpatient | 4 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 6 | Carefirst facility · fee schedule · outpatient | 3 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 7 | Tricare facility · fee schedule · outpatient | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Kaiser facility · fee schedule · outpatient | 2 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 9 | Medicare facility · fee schedule · outpatient | 2 | $2 | $2 | $0 | 3% | — | $1 – $2 |
| 10 | Ambetter facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Cigna facility · fee schedule · outpatient | 1 | $429 | $429 | — | — | — | $429 – $429 |
| 12 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Medica facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | WellCare facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Hospitals reporting APC 01268 · Snapshot 20261111T120946Z-9134e7f7