APC 09036

Renflexis infusion 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Injection, renflexis

Payers reporting APC 09036

Payer pricing summary

Low

$28

Average

$113

Median

$79

High

$492

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$27	$50	$74	147%	—	$21 – $289
2	Caresource fee schedule · outpatient	20	$28	$71	$96	135%	—	$28 – $286
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$28	$93	$109	118%	—	$28 – $278
4	Medicare facility · fee schedule · outpatient · +1 other terms	7	$28	$130	$118	91%	—	$28 – $266
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	7	$28	$140	$131	94%	—	$28 – $333
6	Aetna facility · fee schedule · outpatient · +1 other terms	6	$26	$27	$1	4%	—	$26 – $29
7	Clover fee schedule · outpatient	5	$111	$111	$118	106%	—	$28 – $278
8	Kaiser fee schedule · outpatient · +1 other terms	5	$114	$114	$121	106%	—	$29 – $286
9	WellCare fee schedule · outpatient · +1 other terms	5	$114	$114	$121	106%	—	$29 – $286
10	Amerihealth Caritas facility · fee schedule · outpatient	3	$419	$341	$208	61%	—	$28 – $572
11	Carefirst facility · fee schedule · outpatient	3	$28	$28	—	—	—	$28 – $28
12	Medica facility · fee schedule · outpatient	3	$29	$29	—	—	—	$29 – $29
13	Tricare facility · fee schedule · outpatient	3	$28	$28	—	—	—	$28 – $28
14	Ambetter facility · fee schedule · outpatient	2	$492	$492	—	—	—	$492 – $492
15	Cigna facility · fee schedule · outpatient	2	$266	$266	—	—	—	$266 – $266
16	Aetna Better Health facility · other · outpatient	1	$28	$28	—	—	—	$28 – $28
17	Anthem facility · fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
18	Bcbs Mi facility · fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
19	Highmark facility · fee schedule · outpatient · +1 other terms	1	$27	$27	$2	7%	—	$25 – $29
20	Medical Mutual facility · other · outpatient	1	$40	$40	—	—	—	$40 – $40