APC 9375
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., evomela, 1 mg
Low
$10
Average
$67
Median
$20
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 1.7× 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 | $19 | $19 | $0 | 2% | — | $16 – $20 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $19 | $19 | $5 | 28% | — | $16 – $75 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $19 | $19 | $2 | 12% | — | $16 – $32 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $19 | $19 | $1 | 4% | — | $18 – $25 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 126 | $19 | $19 | $1 | 3% | — | $15 – $23 |
| 6 | Devoted fee schedule · outpatient | 122 | $19 | $19 | $0 | 2% | — | $18 – $20 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $19 | $19 | $1 | 4% | — | $18 – $21 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $27 | $27 | $10 | 39% | — | $18 – $49 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $20 | $20 | $0 | 2% | — | $19 – $20 |
| 10 | Anthem fee schedule · outpatient · +2 other terms | 31 | $19 | $19 | $0 | 2% | — | $18 – $19 |
| 11 | Oscar fee schedule · outpatient | 27 | $19 | $20 | $4 | 20% | — | $18 – $32 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $22 | $22 | $1 | 3% | — | $21 – $22 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 16 | $19 | $19 | $1 | 5% | — | $18 – $22 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $20 | $20 | $0 | 2% | — | $19 – $20 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $19 | $19 | $0 | 1% | — | $18 – $19 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $33 | $36 | $3 | 9% | — | $33 – $40 |
| 17 | Medicare case rate · outpatient · +1 other terms | 8 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | Optum fee schedule · outpatient | 8 | $19 | $28 | $14 | 49% | — | $18 – $49 |
| 19 | Highmark case rate · outpatient | 5 | $19 | $25 | $9 | 35% | — | $19 – $41 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | Excellus case rate · outpatient | 4 | $25 | $26 | $9 | 37% | — | $19 – $42 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $25 | $25 | $3 | 10% | — | $21 – $29 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $14 | $14 | $5 | 32% | — | $10 – $19 |
| 24 | Magellan fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 25 | Medicaid facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Hospitals reporting APC 9375 · Snapshot 20261111T120946Z-9134e7f7