APC 704
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, aflibercept hd, 1 mg
Low
$305
Average
$433
Median
$330
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 2.0× 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 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 174 | $310 | $311 | $8 | 3% | — | $299 – $346 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $307 | $319 | $88 | 28% | — | $287 – $1.2k |
| 3 | Aetna fee schedule · outpatient · +2 other terms | 155 | $310 | $319 | $46 | 14% | — | $296 – $576 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $316 | $316 | $12 | 4% | — | $305 – $405 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 125 | $311 | $309 | $6 | 2% | — | $299 – $336 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $307 | $305 | $3 | 1% | — | $299 – $322 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $319 | $309 | $11 | 3% | — | $299 – $328 |
| 8 | Molina fee schedule · outpatient · +1 other terms | 69 | $452 | $440 | $168 | 38% | — | $313 – $804 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $322 | $321 | $3 | 1% | — | $314 – $322 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $313 | $314 | $9 | 3% | — | $299 – $336 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $301 | $338 | $85 | 25% | — | $295 – $576 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $368 | $363 | $11 | 3% | — | $341 – $368 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 15 | $329 | $325 | $10 | 3% | — | $313 – $342 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $316 | $319 | $3 | 1% | — | $314 – $322 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $313 | $316 | $8 | 2% | — | $307 – $336 |
| 16 | Ambetter case rate · outpatient · +1 other terms | 12 | $560 | $646 | $101 | 16% | — | $560 – $766 |
| 17 | Medicare case rate · outpatient · +1 other terms | 8 | $311 | $311 | — | — | — | $311 – $311 |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $308 | $455 | $210 | 46% | — | $299 – $753 |
| 19 | Highmark facility · other · outpatient · +1 other terms | 4 | $476 | $579 | $562 | 97% | — | $169 – $2.4k |
| 20 | Bcbs Nj facility · other · outpatient | 3 | $307 | $307 | — | — | — | $307 – $307 |
| 21 | Excellus case rate · outpatient | 2 | $619 | $619 | $80 | 13% | — | $539 – $699 |
| 22 | Magellan fee schedule · outpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 23 | Sanford Health Plan case rate · outpatient | 1 | $485 | $485 | $39 | 8% | — | $446 – $525 |
← Hospitals reporting APC 704 · Snapshot 20261111T120946Z-9134e7f7