APC 01493
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
New Technology - Level 1
Low
$24
Average
$28
Median
$29
High
$31
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 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 | $25 | $24 | $1 | 5% | — | $18 – $26 |
| 2 | Caresource fee schedule · outpatient | 15 | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Medicare fee schedule · both | 2 | $27 | $27 | $4 | 15% | — | $23 – $31 |
| 5 | Tricare fee schedule · both · +1 other terms | 2 | $27 | $27 | $5 | 18% | — | $19 – $31 |
| 6 | Aetna fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 7 | Cigna fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 8 | Optum fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 9 | UnitedHealthcare fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 10 | WellCare fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
← Hospitals reporting APC 01493 · Snapshot 20261111T120946Z-9134e7f7