APC 749
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 travoprost intra impl
Low
$196
Average
$252
Median
$207
High
$592
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 1.8× 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 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 173 | $198 | $199 | $2 | 1% | — | $195 – $207 |
| 2 | Humana fee schedule · outpatient · +2 other terms | 160 | $196 | $204 | $56 | 27% | — | $189 – $785 |
| 3 | Aetna fee schedule · outpatient · +1 other terms | 155 | $198 | $203 | $25 | 12% | — | $195 – $345 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 130 | $202 | $204 | $7 | 3% | — | $196 – $259 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 125 | $200 | $198 | $2 | 1% | — | $192 – $204 |
| 6 | Devoted fee schedule · outpatient | 122 | $196 | $196 | $1 | 0% | — | $196 – $206 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $204 | $200 | $5 | 3% | — | $196 – $212 |
| 8 | Molina fee schedule · outpatient · +1 other terms | 68 | $289 | $282 | $108 | 38% | — | $197 – $514 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $206 | $206 | $0 | 0% | — | $206 – $207 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $197 | $198 | $2 | 1% | — | $196 – $202 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $193 | $215 | $47 | 22% | — | $192 – $345 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $235 | $234 | $4 | 2% | — | $224 – $235 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 15 | $200 | $202 | $5 | 3% | — | $197 – $212 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $207 | $206 | $0 | 0% | — | $206 – $207 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $200 | $200 | $1 | 1% | — | $196 – $201 |
| 16 | Ambetter case rate · outpatient · +1 other terms | 12 | $352 | $394 | $49 | 13% | — | $352 – $452 |
| 17 | Medicare case rate · outpatient | 8 | $196 | $196 | — | — | — | $196 – $196 |
| 18 | Optum fee schedule · outpatient | 8 | $196 | $295 | $139 | 47% | — | $196 – $492 |
| 19 | Highmark case rate · outpatient | 3 | $196 | $196 | — | — | — | $196 – $196 |
| 20 | Excellus case rate · outpatient | 2 | $389 | $389 | $50 | 13% | — | $339 – $439 |
| 21 | Magellan fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 22 | Sanford Health Plan case rate · outpatient | 1 | $296 | $296 | $24 | 8% | — | $272 – $320 |
← Hospitals reporting APC 749 · Snapshot 20261111T120946Z-9134e7f7