APC 09269

C1 esterase inhibitor infusion

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

C-1 esterase, berinert

Payers reporting APC 09269

Payer pricing summary

Low

$76

Average

$1.7k

Median

$664

High

$7.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$74	$151	$220	146%	—	$57 – $789
2	Caresource fee schedule · outpatient	20	$76	$252	$305	121%	—	$76 – $781
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$76	$443	$340	77%	—	$76 – $759
4	Aetna fee schedule · outpatient · +1 other terms	5	$774	$771	$4	0%	—	$766 – $774
5	Clover fee schedule · outpatient	5	$759	$759	—	—	—	$759 – $759
6	Kaiser fee schedule · outpatient · +1 other terms	5	$781	$781	—	—	—	$781 – $781
7	Medicare fee schedule · outpatient · +1 other terms	5	$759	$759	—	—	—	$759 – $759
8	UnitedHealthcare fee schedule · outpatient · +2 other terms	5	$759	$759	—	—	—	$759 – $759
9	WellCare fee schedule · outpatient · +1 other terms	5	$781	$781	—	—	—	$781 – $781
10	Carefirst facility · fee schedule · outpatient	3	$76	$76	—	—	—	$76 – $76
11	Tricare facility · fee schedule · outpatient	3	$76	$76	—	—	—	$76 – $76
12	Ambetter facility · fee schedule · outpatient	2	$7.3k	$7.3k	—	—	—	$7.3k – $7.3k
13	Amerihealth Caritas facility · fee schedule · outpatient	2	$6.2k	$6.2k	$2.3k	37%	—	$4.0k – $8.5k
14	Cigna facility · fee schedule · outpatient	2	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k
15	Medica facility · fee schedule · outpatient	1	$79	$79	—	—	—	$79 – $79