APC 01415
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
Glassia injection
Low
$6
Average
$160
Median
$34
High
$517
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 71.7× 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 | $6 | $5 | $0 | 4% | — | $4 – $6 |
| 2 | Caresource fee schedule · outpatient | 15 | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 6 | $6 | $6 | — | — | — | $6 – $6 |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 6 | $143 | $204 | $286 | 140% | — | $1 – $698 |
| 5 | Carefirst facility · fee schedule · outpatient | 3 | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Medicare facility · fee schedule · outpatient | 3 | $279 | $279 | $279 | 100% | — | $1 – $558 |
| 7 | Tricare facility · fee schedule · outpatient | 3 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Aetna facility · fee schedule · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Ambetter facility · fee schedule · outpatient | 2 | $517 | $517 | $516 | 100% | — | $1 – $1.0k |
| 10 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $440 | $440 | $494 | 112% | — | $1 – $1.2k |
| 11 | Cigna facility · fee schedule · outpatient | 2 | $279 | $279 | $279 | 100% | — | $1 – $558 |
| 12 | WellCare facility · fee schedule · outpatient | 2 | $279 | $279 | $279 | 100% | — | $1 – $558 |
| 13 | Kaiser facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Hospitals reporting APC 01415 · Snapshot 20261111T120946Z-9134e7f7