APC 05491
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
REM FB INTRAOCULAR ANT CHAMBER
Low
$1.8k
Average
$3.8k
Median
$3.0k
High
$11.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 2.9× 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 · +2 other terms | 86 | $2.3k | $2.3k | $73 | 3% | — | $1.7k – $2.4k |
| 2 | Caresource fee schedule · outpatient | 20 | $2.4k | $2.4k | $14 | 1% | — | $2.3k – $2.4k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 12 | $2.5k | $3.7k | $2.9k | 78% | — | $1.3k – $12.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $2.2k | $2.3k | $18 | 1% | — | $2.2k – $2.3k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 11 | $2.4k | $2.8k | $826 | 29% | — | $2.1k – $4.6k |
| 6 | Aetna facility · fee schedule · outpatient · +3 other terms | 10 | $2.6k | $2.8k | $826 | 29% | — | $2.0k – $7.1k |
| 7 | Clover fee schedule · outpatient | 5 | $2.4k | $2.4k | $15 | 1% | — | $2.4k – $2.4k |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $2.4k | $2.4k | $15 | 1% | — | $2.3k – $2.4k |
| 9 | Molina facility · fee schedule · outpatient | 5 | $3.0k | $3.3k | $697 | 21% | — | $2.5k – $4.8k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $2.4k | $2.4k | $15 | 1% | — | $2.3k – $2.4k |
| 11 | Devoted facility · fee schedule · outpatient | 4 | $2.3k | $3.4k | $1.1k | 34% | — | $2.2k – $4.7k |
| 12 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $2.6k | $2.6k | $142 | 5% | — | $2.4k – $2.7k |
| 13 | Ambetter facility · fee schedule · outpatient | 3 | $4.5k | $6.2k | $2.2k | 35% | — | $3.0k – $8.7k |
| 14 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $3.8k | $5.5k | $2.8k | 51% | — | $2.3k – $10.1k |
| 15 | Carefirst facility · fee schedule · outpatient | 3 | $2.7k | $2.6k | $153 | 6% | — | $2.4k – $2.7k |
| 16 | Cigna facility · fee schedule · outpatient · +1 other terms | 2 | $7.4k | $7.4k | $2.2k | 30% | — | $2.5k – $9.4k |
| 17 | Medica facility · fee schedule · outpatient | 2 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | Aetna Better Health facility · fee schedule · outpatient · +1 other terms | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 19 | Anthem facility · fee schedule · outpatient | 1 | $5.2k | $5.2k | $2.1k | 41% | — | $2.2k – $6.6k |
| 20 | Bcbs Ca facility · fee schedule · outpatient | 1 | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 21 | Bcbs Mi facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $2.2k | $2.2k | $166 | 8% | — | $2.0k – $2.4k |
| 23 | Medical Mutual facility · other · outpatient | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 24 | MultiPlan facility · other · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 25 | Optum fee schedule · both | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
← Hospitals reporting APC 05491 · Snapshot 20261111T120946Z-9134e7f7