APC 09004
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
Injection, inclisiran, 1
Low
$13
Average
$1.2k
Median
$16
High
$6.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 382.3× 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 | 86 | $12 | $13 | $2 | 17% | — | $10 – $20 |
| 2 | Caresource fee schedule · outpatient | 20 | $13 | $14 | $3 | 19% | — | $13 – $20 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $13 | $15 | $3 | 20% | — | $13 – $19 |
| 4 | Medicare facility · fee schedule · outpatient · +1 other terms | 7 | $13 | $1.6k | $1.8k | 115% | — | $13 – $3.7k |
| 5 | Aetna facility · fee schedule · outpatient · +1 other terms | 6 | $12 | $12 | $0 | 4% | — | $12 – $13 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 6 | $1.8k | $1.7k | $2.0k | 115% | — | $13 – $4.6k |
| 7 | Clover fee schedule · outpatient | 5 | $16 | $16 | $3 | 20% | — | $13 – $19 |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $16 | $16 | $3 | 20% | — | $13 – $20 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $16 | $16 | $3 | 20% | — | $13 – $20 |
| 10 | Carefirst facility · fee schedule · outpatient | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Medica facility · fee schedule · outpatient | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | Ambetter facility · fee schedule · outpatient | 2 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 14 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $5.8k | $5.8k | $2.1k | 37% | — | $3.7k – $7.9k |
| 15 | Cigna facility · fee schedule · outpatient | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
← Hospitals reporting APC 09004 · Snapshot 20261111T120946Z-9134e7f7