APC 9196
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, trivisc 1 mg
Low
$2
Average
$5
Median
$4
High
$10
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 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 · +3 other terms | 174 | $4 | $4 | $1 | 21% | — | $3 – $8 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $4 | $4 | $1 | 32% | — | $3 – $14 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $4 | $4 | $1 | 36% | — | $3 – $11 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $4 | $4 | $0 | 11% | — | $3 – $6 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $4 | $4 | $1 | 22% | — | $3 – $11 |
| 6 | Devoted fee schedule · outpatient | 122 | $4 | $4 | $0 | 5% | — | $3 – $4 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $4 | $3 | $0 | 9% | — | $3 – $4 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $5 | $5 | $2 | 39% | — | $3 – $9 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $4 | $4 | $0 | 5% | — | $3 – $4 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $4 | $4 | $1 | 25% | — | $3 – $6 |
| 11 | Oscar fee schedule · outpatient | 27 | $4 | $4 | $2 | 53% | — | $3 – $11 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $4 | $4 | $0 | 8% | — | $3 – $4 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 16 | $4 | $5 | $3 | 48% | — | $4 – $14 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $3 | $4 | $0 | 5% | — | $3 – $4 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $4 | $4 | $1 | 21% | — | $4 – $6 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $8 | $11 | $3 | 30% | — | $8 – $15 |
| 17 | Medicare case rate · outpatient · +1 other terms | 8 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | Optum fee schedule · outpatient | 8 | $4 | $5 | $2 | 40% | — | $3 – $8 |
| 19 | Highmark case rate · outpatient | 5 | $5 | $6 | $2 | 35% | — | $5 – $10 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $5 | $5 | — | — | — | $5 – $5 |
| 21 | Excellus case rate · outpatient | 4 | $6 | $7 | $2 | 37% | — | $5 – $11 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $8 | $8 | $1 | 10% | — | $7 – $9 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $4 | $4 | $1 | 32% | — | $2 – $5 |
| 24 | Magellan fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Medicaid facility · case rate · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Hospitals reporting APC 9196 · Snapshot 20261111T120946Z-9134e7f7