APC 0759
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
Naltrexone, depot form
Low
$2
Average
$235
Median
$34
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 197.9× 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 | Excellus case rate · outpatient | 2 | $4 | $4 | — | — | 2–20 | $4 – $4 |
| 2 | Caresource other · outpatient · +1 other terms | 1 | $132 | $132 | — | — | 1–10 | $132 – $132 |
| 3 | Devoted other · outpatient | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 4 | Medical Mutual facility · other · outpatient | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 5 | Aetna facility · fee schedule · outpatient · +4 other terms | 5 | $4 | $4 | $0 | 1% | — | $4 – $4 |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 5 | $9 | $9 | $4 | 47% | — | $4 – $16 |
| 7 | Humana facility · fee schedule · outpatient · +4 other terms | 5 | $4 | $4 | $0 | 0% | — | $4 – $4 |
| 8 | Tricare facility · fee schedule · outpatient | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | WellCare facility · fee schedule · outpatient · +1 other terms | 5 | $4 | $4 | $0 | 2% | — | $4 – $4 |
| 11 | Cigna case rate · outpatient · +3 other terms | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Highmark case rate · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Sanford Health Plan case rate · outpatient | 2 | $6 | $6 | $1 | 11% | — | $5 – $7 |
| 14 | Aetna Better Health facility · case rate · outpatient | 1 | $3 | $3 | $1 | 32% | — | $2 – $4 |
| 15 | Ambetter facility · case rate · outpatient · +1 other terms | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 16 | Medicaid facility · case rate · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Molina facility · case rate · outpatient | 1 | $3 | $3 | $1 | 32% | — | $2 – $4 |
← Hospitals reporting APC 0759 · Snapshot 20261111T120946Z-9134e7f7