APC 9017
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. byooviz, 0.1 mg
Low
$32
Average
$118
Median
$91
High
$633
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 2.8× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 174 | $61 | $85 | $56 | 65% | — | $60 – $246 |
| 2 | Humana fee schedule · outpatient · +4 other terms | 161 | $60 | $104 | $74 | 71% | — | $60 – $251 |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $62 | $101 | $72 | 71% | — | $60 – $296 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $62 | $103 | $74 | 72% | — | $60 – $255 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $61 | $85 | $58 | 68% | — | $59 – $248 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $60 | $75 | $46 | 61% | — | $60 – $241 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $64 | $112 | $79 | 71% | — | $60 – $260 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $113 | $131 | $70 | 53% | — | $61 – $263 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $63 | $74 | $40 | 53% | — | $63 – $253 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $62 | $89 | $52 | 58% | — | $60 – $241 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $63 | $89 | $73 | 82% | — | $59 – $296 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $72 | $108 | $77 | 71% | — | $72 – $275 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 15 | $65 | $106 | $53 | 50% | — | $61 – $176 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $74 | $82 | $46 | 56% | — | $63 – $253 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $61 | $75 | $37 | 49% | — | $60 – $173 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $111 | $228 | $138 | 61% | — | $111 – $392 |
| 17 | Medicare case rate · outpatient · +1 other terms | 8 | $62 | $62 | — | — | — | $62 – $62 |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $119 | $167 | $167 | 100% | — | $60 – $602 |
| 19 | Highmark case rate · outpatient · +1 other terms | 5 | $62 | $84 | $30 | 35% | — | $62 – $136 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $62 | $62 | — | — | — | $62 – $62 |
| 21 | Excellus case rate · outpatient | 4 | $84 | $86 | $32 | 37% | — | $62 – $139 |
| 22 | Bcbs Nj facility · other · outpatient | 3 | $60 | $60 | — | — | — | $60 – $60 |
| 23 | Sanford Health Plan case rate · outpatient | 3 | $90 | $91 | $9 | 10% | — | $75 – $104 |
| 24 | Aetna Better Health facility · case rate · outpatient | 1 | $48 | $48 | $15 | 32% | — | $32 – $63 |
| 25 | Magellan fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Hospitals reporting APC 9017 · Snapshot 20261111T120946Z-9134e7f7