APC 09042

Glucagon 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

Glucagon hydrochloride

Payers reporting APC 09042

Payer pricing summary

Low

$117

Average

$219

Median

$171

High

$678

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$160	$160	$9	6%	—	$114 – $171
2	Caresource fee schedule · outpatient	20	$165	$167	$2	1%	—	$165 – $170
3	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	11	$165	$165	—	—	—	$165 – $165
4	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	8	$146	$217	$253	117%	—	$117 – $1.2k
5	Aetna fee schedule · outpatient · +2 other terms	5	$168	$168	$1	0%	—	$167 – $168
6	Clover fee schedule · outpatient	5	$165	$165	—	—	—	$165 – $165
7	Kaiser fee schedule · outpatient · +1 other terms	5	$170	$170	—	—	—	$170 – $170
8	Medicare fee schedule · outpatient · +1 other terms	5	$165	$165	—	—	—	$165 – $165
9	WellCare fee schedule · outpatient · +1 other terms	5	$170	$170	—	—	—	$170 – $170
10	Ambetter facility · fee schedule · outpatient	3	$217	$215	$5	2%	—	$205 – $217
11	Amerihealth Caritas facility · fee schedule · outpatient	3	$185	$183	$64	35%	—	$117 – $252
12	Bcbs Ca facility · fee schedule · outpatient	2	$455	$420	$194	46%	—	$146 – $558
13	Cigna facility · fee schedule · outpatient	2	$117	$117	—	—	—	$117 – $117
14	MultiPlan facility · other · outpatient	2	$187	$187	—	—	—	$187 – $187
15	Aetna Better Health facility · fee schedule · outpatient	1	$678	$678	$554	82%	—	$123 – $1.2k
16	Devoted facility · fee schedule · outpatient	1	$154	$154	—	—	—	$154 – $154
17	Highmark facility · fee schedule · outpatient · +1 other terms	1	$159	$159	$11	7%	—	$149 – $174
18	Medica facility · fee schedule · outpatient	1	$171	$171	—	—	—	$171 – $171
19	Oscar facility · fee schedule · outpatient	1	$220	$220	—	—	—	$220 – $220