APC 01295
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
Sm 153 lexidronam
Low
$3.1k
Average
$5.1k
Median
$3.2k
High
$16.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 3.2× 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 | $3.1k | $3.1k | $110 | 4% | — | $2.4k – $3.2k |
| 2 | Caresource fee schedule · outpatient | 15 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 6 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 4 | Medicare facility · fee schedule · outpatient | 5 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Aetna facility · fee schedule · outpatient · +1 other terms | 4 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | Medica facility · fee schedule · outpatient | 3 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 7 | Bcbs Ca facility · fee schedule · outpatient | 2 | $9.8k | $9.1k | $4.2k | 46% | — | $3.2k – $12.0k |
| 8 | Kaiser facility · fee schedule · outpatient | 2 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | MultiPlan facility · other · outpatient | 2 | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 10 | UnitedHealthcare facility · fee schedule · outpatient | 2 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
← Hospitals reporting APC 01295 · Snapshot 20261111T120946Z-9134e7f7