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
HC SUBRETINAL INJ PHARM AGENT W/VTRC AND RETINOTOMIES
Low
$1.0k
Average
$5.7k
Median
$4.6k
High
$15.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 3.5× 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 | Aetna fee schedule · outpatient · +14 other terms | 358 | $4.3k | $5.9k | $5.1k | 86% | — | $108 – $53.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 356 | $4.5k | $7.6k | $7.0k | 93% | — | $578 – $124.9k |
| 3 | Humana fee schedule · outpatient · +11 other terms | 251 | $4.2k | $4.0k | $1.1k | 27% | — | $1.0k – $12.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 243 | $4.5k | $9.3k | $8.0k | 85% | — | $1 – $36.7k |
| 5 | Cigna fee schedule · outpatient · +10 other terms | 173 | $4.3k | $7.7k | $6.8k | 89% | — | $2.8k – $43.8k |
| 6 | WellCare fee schedule · outpatient · +4 other terms | 134 | $4.2k | $4.6k | $1.7k | 38% | — | $2.3k – $10.0k |
| 7 | Molina fee schedule · outpatient · +10 other terms | 98 | $5.0k | $5.7k | $1.9k | 33% | — | $3.0k – $9.6k |
| 8 | Anthem fee schedule · outpatient · +10 other terms | 78 | $4.2k | $4.8k | $3.3k | 69% | — | $2.3k – $30.4k |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 66 | $4.3k | $4.3k | $251 | 6% | — | $3.9k – $4.7k |
| 10 | Ambetter facility · fee schedule · outpatient · +4 other terms | 60 | $7.4k | $8.1k | $1.9k | 23% | — | $3.9k – $10.9k |
| 11 | Kaiser fee schedule · outpatient · +3 other terms | 57 | $6.0k | $8.3k | $5.6k | 67% | — | $4.2k – $33.4k |
| 12 | Optum fee schedule · outpatient · +4 other terms | 51 | $4.0k | $5.1k | $2.5k | 50% | — | $3.8k – $15.4k |
| 13 | Caresource fee schedule · outpatient · +4 other terms | 32 | $2.3k | $3.4k | $1.6k | 47% | — | $2.3k – $7.1k |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $2.1k | $2.0k | $1.1k | 53% | — | $843 – $4.5k |
| 15 | Oscar facility · fee schedule · outpatient · +5 other terms | 25 | $6.1k | $6.4k | $952 | 15% | — | $4.9k – $7.8k |
| 16 | Bcbs La fee schedule · outpatient · +1 other terms | 24 | $16.3k | $15.7k | $6.4k | 41% | — | $3.3k – $25.9k |
| 17 | Clover fee schedule · outpatient · +3 other terms | 24 | $4.7k | $4.5k | $314 | 7% | — | $4.0k – $5.0k |
| 18 | Medicare fee schedule · outpatient · +1 other terms | 18 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 18 | $4.4k | $5.2k | $2.5k | 48% | — | $3.9k – $13.9k |
| 20 | Highmark fee schedule · outpatient · +3 other terms | 17 | $5.5k | $5.7k | $2.0k | 36% | — | $1.9k – $12.2k |
| 21 | Medical Mutual fee schedule · outpatient · +2 other terms | 17 | $13.6k | $13.5k | $5.7k | 43% | — | $3.6k – $22.3k |
| 22 | MultiPlan fee schedule · outpatient · +8 other terms | 15 | $7.2k | $7.0k | $577 | 8% | — | $4.0k – $7.2k |
| 23 | Bcbs Mn fee schedule · outpatient · +2 other terms | 13 | $4.4k | $7.2k | $5.0k | 69% | — | $2.0k – $23.6k |
| 24 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 13 | $4.2k | $4.2k | $117 | 3% | — | $3.9k – $4.5k |
| 25 | Aetna Better Health fee schedule · outpatient · +4 other terms | 12 | $1.1k | $2.3k | $1.4k | 63% | — | $1.1k – $4.0k |
← Hospitals reporting CPT 0810T · Snapshot 20261113T090226Z-3ce6c0b8