APC 09375
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., evomela, 1 mg
Low
$19
Average
$112
Median
$124
High
$192
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 10.0× 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 | $18 | $37 | $54 | 146% | — | $14 – $194 |
| 2 | Caresource fee schedule · outpatient | 20 | $19 | $62 | $75 | 121% | — | $19 – $192 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 11 | $19 | $109 | $84 | 77% | — | $19 – $186 |
| 4 | Aetna fee schedule · outpatient · +1 other terms | 5 | $190 | $189 | $1 | 0% | — | $188 – $190 |
| 5 | Clover fee schedule · outpatient | 5 | $186 | $186 | — | — | — | $186 – $186 |
| 6 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $192 | $192 | — | — | — | $192 – $192 |
| 7 | Medicare fee schedule · outpatient | 5 | $186 | $186 | — | — | — | $186 – $186 |
| 8 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 5 | $186 | $186 | — | — | — | $186 – $186 |
| 9 | WellCare fee schedule · outpatient | 5 | $192 | $192 | — | — | — | $192 – $192 |
| 10 | Carefirst facility · fee schedule · outpatient | 3 | $19 | $19 | — | — | — | $19 – $19 |
| 11 | Tricare facility · fee schedule · outpatient | 3 | $19 | $19 | — | — | — | $19 – $19 |
← Hospitals reporting APC 09375 · Snapshot 20261111T120946Z-9134e7f7