APC 00877
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
sodium hyaluronate (viscosup) 30 mg/2 mL Syrg 2 mL
Rapids, MN
See all hospitals reporting APC 00877 →Price type
Allina Health Systems’s median price of $111 is 2% above the median hospital's median price ($109), higher than 74% of the 140 hospitals reporting APC 00877. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 2 | Medicare medicare (m) facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 3 | Medica medica medicare (m) facility · fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
Last updated: Jun 17, 2026
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