APC 9284

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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.

Generation details were not recorded for this description.

Original text from hospital filings

Payers reporting APC 9284

Payer pricing summary

Low

$96

Average

$1.7k

Median

$221

High

$14.0k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$251	$256	$94	37%	110	$183 – $412
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$189	$189	$3	2%	—	$172 – $196
3	Humana fee schedule · outpatient · +5 other terms	161	$187	$195	$53	27%	—	$172 – $748
4	Aetna fee schedule · outpatient · +4 other terms	155	$189	$193	$22	11%	—	$172 – $315
5	WellCare fee schedule · outpatient · +2 other terms	131	$193	$195	$7	4%	—	$180 – $247
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$190	$189	$7	4%	—	$177 – $265
7	Devoted fee schedule · outpatient · +2 other terms	122	$187	$187	$1	1%	—	$187 – $196
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$194	$191	$5	3%	—	$187 – $206
9	Molina fee schedule · outpatient · +3 other terms	69	$275	$268	$103	38%	—	$180 – $490
10	Superior Healthplan fee schedule · outpatient	40	$196	$196	$1	0%	—	$196 – $200
11	Anthem fee schedule · outpatient · +1 other terms	31	$187	$187	$4	2%	—	$180 – $193
12	Oscar fee schedule · outpatient · +2 other terms	27	$183	$203	$40	20%	—	$183 – $315
13	Medicare facility · fee schedule · outpatient · +2 other terms	20	$187	$1.3k	$6.0k	447%	—	$187 – $38.1k
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$224	$223	$3	1%	—	$217 – $224
15	Cigna fee schedule · outpatient · +3 other terms	16	$191	$191	$10	5%	—	$180 – $219
16	Clover fee schedule · outpatient · +3 other terms	15	$197	$197	$1	0%	—	$196 – $200
17	Kaiser fee schedule · outpatient · +2 other terms	15	$191	$190	$2	1%	—	$184 – $191
18	Ambetter case rate · outpatient · +3 other terms	12	$330	$362	$37	10%	—	$330 – $406
19	Optum fee schedule · outpatient · +2 other terms	8	$189	$281	$134	48%	—	$183 – $476
20	Highmark case rate · outpatient · +2 other terms	5	$183	$248	$88	35%	—	$183 – $402
21	Medica facility · fee schedule · outpatient	5	$194	$195	$1	0%	—	$194 – $196
22	Tricare facility · fee schedule · outpatient	5	$183	$183	—	—	—	$183 – $183
23	Bcbs Nj facility · other · outpatient	3	$187	$187	—	—	—	$187 – $187
24	Sanford Health Plan case rate · outpatient	3	$266	$268	$27	10%	—	$222 – $306
25	Magellan facility · fee schedule · outpatient · +1 other terms	2	$196	$196	—	—	—	$196 – $196

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