APC 9138
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, hemgenix, per tx dos
Low
$1927.4k
Average
$4138.7k
Median
$3805.9k
High
$6747.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 1.5× 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 | 174 | $3722.1k | $3729.6k | $45.9k | 1% | — | $3666.8k – $3895.5k |
| 2 | Humana fee schedule · outpatient · +4 other terms | 161 | $3685.3k | $3837.1k | $1050.3k | 27% | — | $3543.8k – $14741.1k |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $3722.8k | $3816.4k | $471.3k | 12% | — | $3654.5k – $6492.5k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $3795.8k | $3832.8k | $132.5k | 3% | — | $3685.3k – $4864.6k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 125 | $3759.0k | $3721.8k | $42.3k | 1% | — | $3611.6k – $3832.7k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $3685.3k | $3687.8k | $11.8k | 0% | — | $3685.3k – $3869.5k |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $3832.7k | $3754.7k | $103.1k | 3% | — | $3685.3k – $3986.8k |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $5426.6k | $5285.3k | $2023.0k | 38% | — | $3710k – $9655.4k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $3869.5k | $3871.0k | $2.7k | 0% | — | $3869.5k – $3876.0k |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $3710k | $3722.0k | $46.8k | 1% | — | $3685.3k – $3795.8k |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $3617.6k | $4028.6k | $879.2k | 22% | — | $3611.6k – $6492.5k |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $4422.3k | $4384.5k | $81.6k | 2% | — | $4208.3k – $4422.3k |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 15 | $3759.0k | $3803.4k | $98.8k | 3% | — | $3710k – $3980.1k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $3876.0k | $3873.4k | $3.2k | 0% | — | $3869.5k – $3876.0k |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $3759.0k | $3757.5k | $20.4k | 1% | — | $3685.3k – $3784.2k |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $6633.5k | $7381.8k | $885.4k | 12% | — | $6633.5k – $8429.5k |
| 17 | Medicare case rate · outpatient · +1 other terms | 8 | $3685.3k | $3685.3k | — | — | — | $3685.3k – $3685.3k |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $3688.4k | $5533.7k | $2612.7k | 47% | — | $3685.3k – $9228.6k |
| 19 | Tricare facility · fee schedule · outpatient | 5 | $3685.3k | $3685.3k | — | — | — | $3685.3k – $3685.3k |
| 20 | Highmark facility · other · outpatient · +1 other terms | 4 | $5629.4k | $4832.6k | $2319.1k | 48% | — | $875k – $7749.7k |
| 21 | Bcbs Nj facility · other · outpatient | 3 | $3685.3k | $3685.3k | — | — | — | $3685.3k – $3685.3k |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $5339.5k | $5376.6k | $544.8k | 10% | — | $4463.5k – $6150.6k |
| 23 | Excellus case rate · outpatient | 2 | $3685.3k | $3685.3k | — | — | — | $3685.3k – $3685.3k |
| 24 | Aetna Better Health facility · case rate · outpatient | 1 | $2843.2k | $2843.2k | $915.8k | 32% | — | $1927.4k – $3759.0k |
| 25 | Magellan fee schedule · outpatient | 1 | $3685.3k | $3685.3k | — | — | — | $3685.3k – $3685.3k |
← Hospitals reporting APC 9138 · Snapshot 20261111T120946Z-9134e7f7