APC 09057
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
Inj nivol relatlimab 3mg/
Low
$197
Average
$229
Median
$205
High
$380
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 1.5× 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 | $196 | $197 | $8 | 4% | — | $151 – $210 |
| 2 | Caresource fee schedule · outpatient | 20 | $202 | $204 | $3 | 1% | — | $202 – $208 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $202 | $202 | — | — | — | $202 – $202 |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 7 | $206 | $262 | $134 | 51% | — | $202 – $614 |
| 5 | Aetna fee schedule · outpatient · +1 other terms | 5 | $206 | $205 | $1 | 0% | — | $204 – $206 |
| 6 | Clover fee schedule · outpatient | 5 | $202 | $202 | — | — | — | $202 – $202 |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $208 | $208 | — | — | — | $208 – $208 |
| 8 | Medicare fee schedule · outpatient · +1 other terms | 5 | $202 | $202 | — | — | — | $202 – $202 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $208 | $208 | — | — | — | $208 – $208 |
| 10 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $324 | $300 | $116 | 39% | — | $206 – $442 |
| 11 | Carefirst facility · fee schedule · outpatient | 3 | $202 | $202 | — | — | — | $202 – $202 |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $202 | $202 | — | — | — | $202 – $202 |
| 13 | Ambetter facility · fee schedule · outpatient | 2 | $380 | $380 | — | — | — | $380 – $380 |
| 14 | Cigna facility · fee schedule · outpatient | 2 | $206 | $206 | — | — | — | $206 – $206 |
| 15 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $194 | $194 | $14 | 7% | — | $182 – $213 |
| 16 | Medica facility · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
← Hospitals reporting APC 09057 · Snapshot 20261111T120946Z-9134e7f7