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
TOPOTECAN 1000 MCG/ML HIGH DOSE INTRAVITREAL INJECTION
Low
$0
Average
$380
Median
$326
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 31.1× 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 · +29 other terms | 494 | $2 | $92 | $579 | 632% | 21 | $1 – $9.4k |
| 2 | Caresource fee schedule · outpatient · +13 other terms | 63 | $2 | $7 | $28 | 382% | 2–20 | $1 – $343 |
| 3 | Wellmark fee schedule · outpatient · +12 other terms | 22 | $1 | $1 | $0 | 4% | 2–20 | $1 – $1 |
| 4 | Anthem fee schedule · outpatient · +21 other terms | 107 | $2 | $50 | $225 | 449% | 1–10 | $1 – $4.2k |
| 5 | Cigna fee schedule · outpatient · +23 other terms | 367 | $3 | $154 | $692 | 448% | — | $1 – $7.4k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 321 | $5 | $32 | $179 | 561% | — | $1 – $4.2k |
| 7 | Aetna fee schedule · outpatient · +26 other terms | 266 | $3 | $265 | $1.2k | 471% | — | $1 – $16.4k |
| 8 | Humana fee schedule · outpatient · +20 other terms | 194 | $2 | $640 | $2.2k | 341% | — | $1 – $18.2k |
| 9 | MultiPlan fee schedule · inpatient · +14 other terms | 67 | $951 | $1.6k | $3.2k | 204% | — | $5 – $18.2k |
| 10 | Molina fee schedule · outpatient · +19 other terms | 53 | $4 | $43 | $120 | 281% | — | $1 – $657 |
| 11 | Kaiser fee schedule · both · +16 other terms | 46 | $2 | $2 | $2 | 110% | — | $1 – $33 |
| 12 | Highmark facility · fee schedule · outpatient · +11 other terms | 40 | $3 | $64 | $66 | 103% | — | $1 – $249 |
| 13 | Medica fee schedule · outpatient · +15 other terms | 37 | $15 | $19 | $77 | 412% | — | $1 – $615 |
| 14 | Bcbs Tx fee schedule · outpatient · +3 other terms | 28 | $10 | $9 | $3 | 34% | — | $4 – $16 |
| 15 | Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms | 28 | $709 | $811 | $1.5k | 180% | — | $89 – $8.0k |
| 16 | Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms | 26 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 17 | Oscar facility · fee schedule · outpatient · +11 other terms | 26 | $2 | $2 | $0 | 23% | — | $1 – $3 |
| 18 | First Health fee schedule · outpatient · +17 other terms | 24 | $1.2k | $1.2k | $1.7k | 140% | — | $2 – $6.9k |
| 19 | Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms | 23 | $3 | $3 | $1 | 24% | — | $1 – $4 |
| 20 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms | 22 | $1.1k | $986 | $1.2k | 117% | — | $124 – $4.2k |
| 21 | Regence professional · fee schedule · outpatient · +10 other terms | 21 | $1 | $1 | $0 | 24% | — | $1 – $2 |
| 22 | Aetna Better Health fee schedule · outpatient · +11 other terms | 19 | $1 | $5 | $20 | 394% | — | $1 – $108 |
| 23 | Healthpartners fee schedule · outpatient · +11 other terms | 19 | $2 | $13 | $31 | 249% | — | $2 – $107 |
| 24 | Optum professional · fee schedule · outpatient · +14 other terms | 19 | $86 | $70 | $43 | 62% | — | $1 – $184 |
| 25 | Phcs fee schedule · inpatient · +13 other terms | 19 | $318 | $2.6k | $5.1k | 194% | — | $80 – $20.8k |
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