APC 09196
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, trivisc 1 mg
Low
$3
Average
$4
Median
$4
High
$4
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient | 81 | $4 | $3 | $0 | 5% | — | $3 – $4 |
| 2 | Caresource fee schedule · outpatient | 15 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 6 | $4 | $4 | — | — | — | $4 – $4 |
← Hospitals reporting APC 09196 · Snapshot 20261111T120946Z-9134e7f7