APC 806
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
Hiv prep, ftc/tdf 200/300
Low
$1
Average
$4
Median
$1
High
$45
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 4.7× 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 · +3 other terms | 173 | $1 | $1 | $0 | 29% | — | $0 – $2 |
| 2 | Humana fee schedule · outpatient · +4 other terms | 160 | $1 | $1 | $1 | 48% | — | $0 – $5 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $1 | $1 | $1 | 40% | — | $0 – $3 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 130 | $1 | $1 | $0 | 48% | — | $0 – $2 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 125 | $1 | $1 | $0 | 37% | — | $0 – $2 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $1 | $1 | $0 | 36% | — | $0 – $1 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $1 | $1 | $0 | 45% | — | $0 – $1 |
| 8 | Molina fee schedule · outpatient · +1 other terms | 68 | $2 | $2 | $1 | 58% | — | $0 – $4 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $1 | $1 | $0 | 32% | — | $0 – $1 |
| 10 | Anthem fee schedule · outpatient · +2 other terms | 31 | $1 | $1 | $0 | 18% | — | $0 – $2 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $1 | $1 | $1 | 51% | — | $0 – $3 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $2 | $1 | $0 | 30% | — | $1 – $2 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 15 | $1 | $2 | $0 | 15% | — | $1 – $2 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $1 | $1 | $0 | 51% | — | $0 – $1 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $1 | $1 | $0 | 11% | — | $1 – $2 |
| 16 | Ambetter case rate · outpatient · +1 other terms | 12 | $3 | $6 | $4 | 61% | — | $3 – $11 |
| 17 | Medicare facility · fee schedule · outpatient · +1 other terms | 9 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $1 | $1 | $0 | 26% | — | $0 – $2 |
| 19 | Medica facility · fee schedule · outpatient | 5 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Highmark facility · other · outpatient · +1 other terms | 4 | $2 | $5 | $13 | 238% | — | $1 – $56 |
| 21 | Bcbs Nj facility · other · outpatient | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Excellus case rate · outpatient | 2 | $3 | $3 | $0 | 13% | — | $3 – $4 |
| 23 | Magellan fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Sanford Health Plan case rate · outpatient | 1 | $3 | $3 | $0 | 8% | — | $2 – $3 |
← Hospitals reporting APC 806 · Snapshot 20261111T120946Z-9134e7f7