APC 09331
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 POLATUZUMAB VEDOTIN 1MG
Low
$137
Average
$3.8k
Median
$354
High
$22.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 99.0× 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 | $133 | $210 | $233 | 111% | — | $103 – $996 |
| 2 | Caresource fee schedule · outpatient | 20 | $137 | $270 | $293 | 109% | — | $137 – $986 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $137 | $320 | $326 | 102% | — | $137 – $957 |
| 4 | Medicare facility · fee schedule · outpatient · +1 other terms | 7 | $137 | $5.3k | $7.9k | 149% | — | $137 – $20.1k |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 7 | $140 | $5.7k | $8.6k | 150% | — | $137 – $25.1k |
| 6 | Aetna facility · fee schedule · outpatient · +1 other terms | 6 | $130 | $134 | $5 | 4% | — | $130 – $141 |
| 7 | Clover fee schedule · outpatient | 5 | $359 | $359 | $347 | 97% | — | $137 – $957 |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $370 | $370 | $357 | 97% | — | $141 – $986 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $370 | $370 | $357 | 97% | — | $141 – $986 |
| 10 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $19.2k | $15.4k | $15.4k | 100% | — | $140 – $43.2k |
| 11 | Carefirst facility · fee schedule · outpatient | 3 | $137 | $137 | — | — | — | $137 – $137 |
| 12 | Medica facility · fee schedule · outpatient | 3 | $142 | $142 | — | — | — | $142 – $142 |
| 13 | Tricare facility · fee schedule · outpatient | 3 | $137 | $137 | — | — | — | $137 – $137 |
| 14 | Ambetter facility · fee schedule · outpatient | 2 | $22.6k | $22.6k | $14.6k | 65% | — | $8.0k – $37.2k |
| 15 | Cigna facility · fee schedule · outpatient | 2 | $12.2k | $12.2k | $7.9k | 65% | — | $4.3k – $20.1k |
| 16 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $132 | $132 | $9 | 7% | — | $123 – $145 |
← Hospitals reporting APC 09331 · Snapshot 20261111T120946Z-9134e7f7