DIETHYLSTILBESTROL INJECTION

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.

Generation details were not recorded for this description.

Original text from hospital filings

Diethylstilbestrol injection

Payers reporting HCPCS J9165

Payer pricing summary

Low

Average

$33

Median

$26

High

$233

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +8 other terms	115	$24	$27	$20	76%	—	$10 – $131
2	Humana fee schedule · outpatient · +5 other terms	69	$45	$70	$43	61%	—	$12 – $124
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	48	$25	$31	$22	70%	—	$11 – $129
4	UnitedHealthcare fee schedule · both · +8 other terms	31	$16	$19	$6	29%	—	$15 – $44
5	Anthem facility · case rate · outpatient · +4 other terms	15	$47	$52	$12	23%	—	$32 – $80
6	Caresource facility · case rate · outpatient · +1 other terms	15	$48	$52	$12	23%	—	$32 – $82
7	Cigna facility · fee schedule · outpatient · +5 other terms	15	$17	$20	$8	41%	—	$13 – $47
8	Molina facility · case rate · outpatient · +2 other terms	15	$47	$52	$12	23%	—	$33 – $80
9	Aetna Better Health fee schedule · outpatient · +1 other terms	13	$13	$13	$1	6%	—	$13 – $14
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$14	$14	$4	29%	—	$7 – $18
11	Highmark fee schedule · outpatient · +2 other terms	12	$14	$15	$9	56%	—	$13 – $98
12	Optum facility · case rate · outpatient · +1 other terms	11	$45	$49	$11	22%	—	$40 – $73
13	Medica fee schedule · outpatient · +4 other terms	10	$31	$31	$8	25%	—	$19 – $40
14	Ucare fee schedule · both	9	$12	$12	$0	3%	—	$12 – $12
15	Bcbs La fee schedule · outpatient · +1 other terms	6	$14	$14	—	—	—	$14 – $14
16	First Health facility · fee schedule · outpatient · +1 other terms	4	$38	$38	—	—	—	$38 – $38
17	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$17	$17	—	—	—	$17 – $17
18	Bcbs Sc fee schedule · outpatient	3	$22	$22	—	—	—	$22 – $22
19	Bcbs Id facility · fee schedule · outpatient	2	$13	$11	$4	33%	—	$9 – $17
20	Bcbs Vt professional · fee schedule · outpatient	2	$32	$32	$9	29%	—	$13 – $46
21	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$343	$343	$243	71%	—	$95 – $621
22	Bcbs Il professional · fee schedule · both	1	$15	$15	—	—	—	$15 – $15
23	Healthpartners facility · fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
24	Magellan fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
25	Medicaid percent of total billed charges · outpatientfrom % of charges	1	$9	$9	—	—	—	$9 – $9

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