APC 9419
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 fensolvi 0.25 mg
Low
$74
Average
$205
Median
$177
High
$476
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 2.3× 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 | $141 | $200 | $200 | 100% | — | $132 – $912 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $140 | $178 | $153 | 86% | — | $132 – $894 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $142 | $253 | $309 | 122% | — | $132 – $1.5k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $144 | $157 | $86 | 55% | — | $140 – $912 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $143 | $155 | $95 | 61% | — | $137 – $886 |
| 6 | Devoted fee schedule · outpatient | 122 | $140 | $140 | $1 | 1% | — | $140 – $147 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $145 | $144 | $4 | 3% | — | $140 – $157 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 69 | $224 | $293 | $257 | 88% | — | $143 – $1.3k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $147 | $147 | $1 | 1% | — | $147 – $153 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $144 | $296 | $298 | 101% | — | $140 – $886 |
| 11 | Oscar fee schedule · outpatient | 27 | $138 | $294 | $433 | 147% | — | $137 – $1.5k |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $168 | $167 | $1 | 1% | — | $166 – $168 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 16 | $151 | $423 | $354 | 84% | — | $143 – $903 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $148 | $148 | $1 | 1% | — | $147 – $153 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $143 | $235 | $246 | 104% | — | $140 – $886 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $254 | $283 | $34 | 12% | — | $254 – $323 |
| 17 | Medicare case rate · outpatient · +2 other terms | 8 | $141 | $141 | — | — | — | $141 – $141 |
| 18 | Optum fee schedule · outpatient | 8 | $143 | $213 | $101 | 48% | — | $140 – $363 |
| 19 | Highmark case rate · outpatient | 5 | $141 | $191 | $68 | 35% | — | $141 – $309 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $141 | $141 | — | — | — | $141 – $141 |
| 21 | Excellus case rate · outpatient | 4 | $193 | $197 | $72 | 37% | — | $141 – $316 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $203 | $205 | $21 | 10% | — | $170 – $234 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $109 | $109 | $35 | 32% | — | $74 – $144 |
| 24 | Magellan fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 25 | Medicaid facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Hospitals reporting APC 9419 · Snapshot 20261111T120946Z-9134e7f7