APC 09473

Mepolizumab 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, mepolizumab, 1

Payers reporting APC 09473

Payer pricing summary

Low

$32

Average

$977

Median

$41

High

$6.0k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$31	$31	$1	4%	—	$24 – $33
2	Caresource fee schedule · outpatient	20	$32	$32	$0	1%	—	$32 – $33
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$32	$32	—	—	—	$32 – $32
4	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	7	$33	$1.1k	$1.6k	149%	—	$32 – $4.0k
5	Medicare facility · fee schedule · outpatient · +1 other terms	6	$1.6k	$1.6k	$1.6k	98%	—	$32 – $3.2k
6	Aetna fee schedule · outpatient · +1 other terms	5	$33	$32	$0	0%	—	$32 – $33
7	Clover fee schedule · outpatient	5	$32	$32	—	—	—	$32 – $32
8	Kaiser fee schedule · outpatient · +1 other terms	5	$33	$33	—	—	—	$33 – $33
9	WellCare fee schedule · outpatient · +1 other terms	5	$33	$33	—	—	—	$33 – $33
10	Amerihealth Caritas facility · fee schedule · outpatient	3	$5.1k	$4.1k	$2.6k	64%	—	$33 – $6.9k
11	Carefirst facility · fee schedule · outpatient	3	$32	$32	—	—	—	$32 – $32
12	Tricare facility · fee schedule · outpatient	3	$32	$32	—	—	—	$32 – $32
13	Ambetter facility · fee schedule · outpatient	2	$6.0k	$6.0k	—	—	—	$6.0k – $6.0k
14	Cigna facility · fee schedule · outpatient	2	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
15	Medica facility · fee schedule · outpatient	2	$33	$33	—	—	—	$33 – $33
16	Highmark facility · fee schedule · outpatient · +1 other terms	1	$31	$31	$2	7%	—	$29 – $34