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
In111 ibritumomab, dx
Low
$133
Average
$4.0k
Median
$3.4k
High
$11.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 8.4× 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 · +20 other terms | 496 | $2.0k | $3.9k | $3.6k | 92% | — | $372 – $15.6k |
| 2 | Cigna fee schedule · outpatient · +17 other terms | 217 | $5.1k | $9.5k | $7.3k | 77% | — | $753 – $28.9k |
| 3 | Aetna fee schedule · outpatient · +18 other terms | 175 | $872 | $3.8k | $5.5k | 145% | — | $0 – $38.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 167 | $6.5k | $8.1k | $6.0k | 75% | — | $0 – $24.0k |
| 5 | Humana fee schedule · outpatient · +17 other terms | 164 | $931 | $9.2k | $14.1k | 153% | — | $724 – $40.9k |
| 6 | Anthem fee schedule · outpatient · +18 other terms | 78 | $133 | $625 | $1.3k | 204% | — | $0 – $12.0k |
| 7 | WellCare fee schedule · outpatient · +11 other terms | 65 | $798 | $975 | $379 | 39% | — | $749 – $1.9k |
| 8 | Molina fee schedule · outpatient · +12 other terms | 45 | $808 | $1.7k | $2.5k | 146% | — | $749 – $10.3k |
| 9 | Kaiser fee schedule · both · +11 other terms | 42 | $6.4k | $6.0k | $1.6k | 27% | — | $3.5k – $8.7k |
| 10 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $12.8k | $12.0k | $6.1k | 51% | — | $749 – $23.7k |
| 11 | Devoted fee schedule · outpatient · +4 other terms | 31 | $835 | $830 | $30 | 4% | — | $798 – $884 |
| 12 | Ambetter facility · fee schedule · outpatient · +10 other terms | 22 | $1.9k | $1.7k | $458 | 27% | — | $0 – $2.0k |
| 13 | Optum facility · fee schedule · outpatient · +8 other terms | 20 | $798 | $793 | $28 | 4% | — | $638 – $814 |
| 14 | Clover fee schedule · outpatient · +4 other terms | 19 | $883 | $878 | $33 | 4% | — | $814 – $940 |
| 15 | Caresource facility · case rate · outpatient · +9 other terms | 18 | $126 | $412 | $528 | 128% | — | $80 – $1.7k |
| 16 | Highmark facility · fee schedule · outpatient · +7 other terms | 16 | $1.6k | $1.9k | $1.6k | 84% | — | $782 – $8.6k |
| 17 | Medica fee schedule · outpatient · +9 other terms | 16 | $7.7k | $7.6k | $3.0k | 40% | — | $832 – $11.0k |
| 18 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $8.5k | $6.0k | $6.0k | 99% | — | $1 – $13.9k |
| 19 | Carefirst facility · fee schedule · both · +5 other terms | 13 | $1.7k | $3.3k | $3.5k | 106% | — | $985 – $14.7k |
| 20 | Excellus facility · fee schedule · both · +5 other terms | 13 | $1.7k | $3.3k | $3.5k | 106% | — | $985 – $14.7k |
| 21 | Premera facility · fee schedule · both · +5 other terms | 13 | $1.7k | $3.3k | $3.5k | 106% | — | $985 – $14.7k |
| 22 | Regence facility · fee schedule · both · +9 other terms | 13 | $1.7k | $3.3k | $3.5k | 106% | — | $985 – $14.7k |
| 23 | Wellmark fee schedule · both · +9 other terms | 13 | $798 | $888 | $545 | 61% | — | $798 – $4.2k |
| 24 | Aetna Better Health fee schedule · outpatient · +7 other terms | 12 | $1.8k | $1.4k | $503 | 36% | — | $798 – $1.8k |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $895 | $1.9k | $1.3k | 67% | — | $872 – $3.9k |
← Hospitals reporting HCPCS A9542 · Snapshot 20261112T124536Z-e251e855