APC 01694
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.
Generation details were not recorded for this description.
Original text from hospital filings
PRIALT(ZICONOTIDE)25MCG/ML 20MLVL
Low
$11
Average
$77
Median
$92
High
$94
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 5.8× 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 | 7 | $94 | $89 | $88 | 100% | — | $10 – $220 |
| 2 | Aetna fee schedule · outpatient | 5 | $93 | $93 | $88 | 94% | — | $11 – $216 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 5 | $92 | $92 | $86 | 94% | — | $11 – $211 |
| 4 | Caresource fee schedule · outpatient | 5 | $94 | $94 | $89 | 94% | — | $11 – $218 |
| 5 | Clover fee schedule · outpatient | 5 | $92 | $92 | $86 | 94% | — | $11 – $211 |
| 6 | Kaiser fee schedule · outpatient | 5 | $94 | $94 | $89 | 94% | — | $11 – $218 |
| 7 | Medicare fee schedule · outpatient | 5 | $92 | $92 | $86 | 94% | — | $11 – $211 |
| 8 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 5 | $92 | $92 | $86 | 94% | — | $11 – $211 |
| 9 | WellCare fee schedule · outpatient | 5 | $94 | $94 | $89 | 94% | — | $11 – $218 |
| 10 | Amerihealth Caritas facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $10 | $10 | $1 | 7% | — | $10 – $11 |
← Hospitals reporting APC 01694 · Snapshot 20261112T181611Z-3fa9fb76