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, pafolacianine, 0.1 mg
Low
$101
Average
$5.9k
Median
$4.4k
High
$19.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 81.2× 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 | Cigna fee schedule · outpatient · +13 other terms | 190 | $254 | $385 | $287 | 75% | — | $8 – $1.2k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +12 other terms | 139 | $323 | $395 | $240 | 61% | — | $1 – $1.0k |
| 3 | Aetna fee schedule · outpatient · +14 other terms | 72 | $167 | $291 | $153 | 53% | — | $128 – $1.4k |
| 4 | Anthem fee schedule · outpatient · +13 other terms | 38 | $180 | $233 | $104 | 45% | — | $133 – $628 |
| 5 | Bcbs Tx fee schedule · outpatient | 30 | $573 | $521 | $174 | 33% | — | $213 – $901 |
| 6 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms | 27 | $930 | $6.5k | $7.6k | 117% | — | $18 – $18.9k |
| 7 | UnitedHealthcare fee schedule · both · +14 other terms | 26 | $151 | $171 | $32 | 19% | — | $134 – $274 |
| 8 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $23 | $25 | $6 | 23% | — | $15 – $39 |
| 9 | Molina facility · case rate · outpatient · +9 other terms | 15 | $23 | $25 | $6 | 23% | — | $16 – $38 |
| 10 | Wellmark fee schedule · both · +2 other terms | 13 | $143 | $144 | $3 | 2% | — | $143 – $159 |
| 11 | Bcbs Nj fee schedule · outpatient · +3 other terms | 12 | $132 | $132 | — | — | — | $132 – $132 |
| 12 | Highmark fee schedule · outpatient · +5 other terms | 12 | $149 | $149 | $3 | 2% | — | $135 – $174 |
| 13 | Optum facility · case rate · outpatient · +5 other terms | 11 | $21 | $23 | $5 | 22% | — | $19 – $35 |
| 14 | Phcs percent of total billed charges · bothfrom % of charges · +5 other terms | 11 | $610 | $8.9k | $8.8k | 100% | — | $610 – $19.3k |
| 15 | Medica fee schedule · outpatient · +9 other terms | 10 | $278 | $280 | $70 | 25% | — | $168 – $358 |
| 16 | Healthpartners facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 9 | $7.5k | $7.4k | $510 | 7% | — | $6.9k – $8.1k |
| 17 | Humana fee schedule · outpatient · +9 other terms | 9 | $128 | $129 | $2 | 1% | — | $128 – $131 |
| 18 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $137 | $137 | $1 | 1% | — | $135 – $138 |
| 19 | Aetna Better Health fee schedule · inpatient · +5 other terms | 7 | $131 | $131 | — | — | — | $131 – $131 |
| 20 | Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 6 | $23.6k | $16.8k | $9.7k | 57% | — | $2.5k – $23.6k |
| 21 | Clover facility · other · outpatient · +1 other terms | 5 | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
| 22 | Excellus facility · fee schedule · outpatient | 5 | $217 | $244 | $151 | 62% | — | $135 – $634 |
| 23 | Tricare fee schedule · outpatient · +2 other terms | 5 | $22.2k | $22.2k | — | — | — | $22.2k – $22.2k |
| 24 | First Health facility · fee schedule · outpatient · +7 other terms | 4 | $398 | $398 | — | — | — | $398 – $398 |
| 25 | Oscar facility · other · outpatient · +6 other terms | 4 | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
← Hospitals reporting HCPCS A9603 · Snapshot 20261112T181611Z-3fa9fb76