APC 9364
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 enfort vedo-ejfv 0.25mg
Low
$9
Average
$375
Median
$39
High
$3.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 25.6× 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 | Excellus case rate · outpatient · +1 other terms | 4 | $50 | $51 | $19 | 37% | 138 | $37 – $82 |
| 2 | Highmark case rate · outpatient · +2 other terms | 5 | $37 | $50 | $18 | 35% | 29 | $37 – $81 |
| 3 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 174 | $37 | $37 | $0 | 1% | — | $35 – $39 |
| 4 | Humana fee schedule · outpatient · +4 other terms | 161 | $37 | $38 | $10 | 27% | — | $35 – $147 |
| 5 | Aetna fee schedule · outpatient · +4 other terms | 155 | $37 | $38 | $5 | 12% | — | $35 – $64 |
| 6 | WellCare fee schedule · outpatient · +2 other terms | 131 | $38 | $38 | $1 | 3% | — | $37 – $48 |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 126 | $37 | $37 | $1 | 4% | — | $36 – $54 |
| 8 | Devoted fee schedule · outpatient · +1 other terms | 122 | $37 | $37 | $0 | 0% | — | $37 – $39 |
| 9 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $38 | $37 | $1 | 3% | — | $37 – $40 |
| 10 | Molina fee schedule · outpatient · +3 other terms | 69 | $54 | $53 | $20 | 38% | — | $37 – $96 |
| 11 | Superior Healthplan fee schedule · outpatient | 40 | $39 | $39 | $0 | 0% | — | $38 – $39 |
| 12 | Anthem fee schedule · outpatient · +1 other terms | 31 | $37 | $37 | $0 | 1% | — | $37 – $38 |
| 13 | Oscar fee schedule · outpatient · +2 other terms | 27 | $36 | $40 | $9 | 21% | — | $36 – $64 |
| 14 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $44 | $44 | $1 | 2% | — | $42 – $44 |
| 15 | Cigna fee schedule · outpatient · +3 other terms | 16 | $37 | $38 | $2 | 5% | — | $37 – $44 |
| 16 | Medicare facility · fee schedule · outpatient · +2 other terms | 16 | $37 | $369 | $1.1k | 299% | — | $37 – $4.4k |
| 17 | Clover fee schedule · outpatient · +2 other terms | 15 | $39 | $39 | $0 | 0% | — | $38 – $39 |
| 18 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $37 | $37 | $0 | 0% | — | $37 – $37 |
| 19 | Ambetter case rate · outpatient · +3 other terms | 12 | $66 | $74 | $9 | 12% | — | $66 – $84 |
| 20 | Optum fee schedule · outpatient · +2 other terms | 8 | $37 | $55 | $26 | 47% | — | $37 – $92 |
| 21 | Medica facility · fee schedule · outpatient | 5 | $38 | $38 | $0 | 0% | — | $38 – $39 |
| 22 | Tricare facility · fee schedule · outpatient | 5 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | Bcbs Nj facility · other · outpatient | 3 | $37 | $37 | — | — | — | $37 – $37 |
| 24 | Sanford Health Plan case rate · outpatient | 3 | $53 | $53 | $5 | 10% | — | $44 – $61 |
| 25 | Aetna Better Health facility · case rate · outpatient | 1 | $28 | $28 | $9 | 32% | — | $19 – $37 |
← Hospitals reporting APC 9364 · Snapshot 20261111T120946Z-9134e7f7