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
AFLIBER200MG/8MLSDVJWPCTB
Low
$4
Average
$1.3k
Median
$856
High
$5.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 356.7× 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 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 341 | $14 | $52 | $226 | 433% | 11 | $0 – $4.2k |
| 2 | UnitedHealthcare fee schedule · outpatient · +24 other terms | 595 | $12 | $59 | $518 | 873% | — | $0 – $13.0k |
| 3 | Aetna fee schedule · outpatient · +22 other terms | 403 | $10 | $183 | $1.1k | 628% | — | $6 – $13.9k |
| 4 | Cigna fee schedule · outpatient · +21 other terms | 361 | $12 | $214 | $982 | 459% | — | $7 – $7.9k |
| 5 | Humana fee schedule · outpatient · +20 other terms | 359 | $8 | $55 | $403 | 730% | — | $0 – $6.5k |
| 6 | Molina fee schedule · outpatient · +20 other terms | 132 | $12 | $149 | $587 | 394% | — | $7 – $5.5k |
| 7 | WellCare fee schedule · outpatient · +14 other terms | 132 | $8 | $11 | $9 | 87% | — | $7 – $60 |
| 8 | Anthem fee schedule · outpatient · +18 other terms | 129 | $11 | $47 | $440 | 938% | — | $7 – $10.3k |
| 9 | Caresource fee schedule · outpatient · +12 other terms | 83 | $10 | $12 | $9 | 75% | — | $7 – $60 |
| 10 | Kaiser fee schedule · outpatient · +17 other terms | 76 | $13 | $417 | $1.4k | 346% | — | $6 – $9.5k |
| 11 | Ambetter facility · fee schedule · outpatient · +15 other terms | 70 | $15 | $115 | $503 | 439% | — | $8 – $3.2k |
| 12 | Devoted fee schedule · outpatient · +11 other terms | 62 | $8 | $8 | $0 | 6% | — | $7 – $9 |
| 13 | Highmark facility · fee schedule · outpatient · +11 other terms | 37 | $12 | $20 | $19 | 94% | — | $7 – $105 |
| 14 | Medicare fee schedule · outpatient · +7 other terms | 35 | $8 | $9 | $7 | 73% | — | $7 – $58 |
| 15 | Oscar facility · fee schedule · outpatient · +13 other terms | 35 | $10 | $11 | $2 | 20% | — | $7 – $15 |
| 16 | MultiPlan fee schedule · outpatient · +12 other terms | 33 | $5.6k | $3.9k | $4.5k | 116% | — | $8 – $14.3k |
| 17 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $59 | $55 | $27 | 49% | — | $7 – $108 |
| 18 | Optum fee schedule · outpatient · +13 other terms | 31 | $8 | $342 | $1.1k | 334% | — | $7 – $6.0k |
| 19 | Clover fee schedule · outpatient · +5 other terms | 29 | $9 | $17 | $17 | 100% | — | $7 – $58 |
| 20 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms | 27 | $12 | $12 | $3 | 23% | — | $8 – $16 |
| 21 | Aetna Better Health fee schedule · outpatient · +13 other terms | 23 | $8 | $8 | $1 | 7% | — | $7 – $9 |
| 22 | Medica facility · fee schedule · outpatient · +14 other terms | 21 | $8 | $253 | $613 | 242% | — | $3 – $2.5k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +6 other terms | 21 | $15 | $17 | $8 | 45% | — | $5 – $34 |
| 24 | Regence facility · fee schedule · outpatient · +13 other terms | 21 | $8 | $9 | $3 | 38% | — | $7 – $20 |
| 25 | Superior Healthplan facility · fee schedule · outpatient · +3 other terms | 21 | $9 | $9 | $0 | 2% | — | $9 – $9 |
← Hospitals reporting HCPCS J9400 · Snapshot 20261111T120946Z-9134e7f7