APC 09490
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, bezlotoxumab, 10 mg
Low
$40
Average
$73
Median
$50
High
$184
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 3.8× 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 | $39 | $39 | $2 | 4% | — | $30 – $41 |
| 2 | Caresource fee schedule · outpatient | 20 | $40 | $40 | $1 | 1% | — | $40 – $41 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 11 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Aetna fee schedule · outpatient | 5 | $41 | $40 | $0 | 0% | — | $40 – $41 |
| 5 | Clover fee schedule · outpatient | 5 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Kaiser fee schedule · outpatient | 5 | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Medicare fee schedule · outpatient · +1 other terms | 5 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 5 | $40 | $40 | — | — | — | $40 – $40 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $41 | $41 | — | — | — | $41 – $41 |
| 10 | Ambetter facility · fee schedule · outpatient | 2 | $184 | $184 | — | — | — | $184 – $184 |
| 11 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $157 | $157 | $57 | 37% | — | $100 – $214 |
| 12 | Cigna facility · fee schedule · outpatient | 2 | $100 | $100 | — | — | — | $100 – $100 |
← Hospitals reporting APC 09490 · Snapshot 20261111T120946Z-9134e7f7