APC 9193
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
Nivestym
Low
$0
Average
$17
Median
$0
High
$263
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 145.2× 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 | Caresource other · outpatient | 1 | $87 | $87 | — | — | 1–10 | $87 – $87 |
| 2 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 171 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 3 | Humana fee schedule · outpatient · +5 other terms | 158 | $0 | $0 | $0 | 27% | — | $0 – $1 |
| 4 | Aetna fee schedule · outpatient · +4 other terms | 153 | $0 | $0 | $0 | 14% | — | $0 – $1 |
| 5 | WellCare fee schedule · outpatient · +3 other terms | 128 | $0 | $0 | $0 | 7% | — | $0 – $0 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 126 | $0 | $0 | $0 | 7% | — | $0 – $0 |
| 7 | Devoted fee schedule · outpatient · +1 other terms | 122 | $0 | $0 | $0 | 4% | — | $0 – $0 |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $0 | $0 | $0 | 7% | — | $0 – $0 |
| 9 | Molina fee schedule · outpatient · +3 other terms | 68 | $0 | $0 | $0 | 37% | — | $0 – $1 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 11 | Anthem fee schedule · outpatient · +1 other terms | 31 | $0 | $0 | $0 | 4% | — | $0 – $0 |
| 12 | Oscar fee schedule · outpatient · +2 other terms | 25 | $0 | $0 | $0 | 45% | — | $0 – $1 |
| 13 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $0 | $0 | $0 | 6% | — | $0 – $0 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $0 | $0 | $0 | 4% | — | $0 – $0 |
| 16 | Cigna fee schedule · outpatient · +2 other terms | 14 | $0 | $0 | $0 | 53% | — | $0 – $1 |
| 17 | Medicare facility · fee schedule · outpatient · +1 other terms | 14 | $0 | $0 | $0 | 7% | — | $0 – $0 |
| 18 | Ambetter case rate · outpatient · +3 other terms | 12 | $1 | $1 | $0 | 5% | — | $1 – $1 |
| 19 | Optum fee schedule · outpatient · +1 other terms | 8 | $0 | $0 | $0 | 50% | — | $0 – $1 |
| 20 | Highmark case rate · outpatient · +2 other terms | 5 | $0 | $0 | $0 | 37% | — | $0 – $1 |
| 21 | Medica facility · fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Tricare facility · fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Excellus case rate · outpatient | 4 | $0 | $0 | $0 | 38% | — | $0 – $1 |
| 24 | Bcbs Nj facility · other · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Sanford Health Plan case rate · outpatient | 3 | $0 | $0 | $0 | 10% | — | $0 – $0 |
← Hospitals reporting APC 9193 · Snapshot 20261111T120946Z-9134e7f7