APC 1138

Hepagam B intravenous 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

Hepagam b intravenous, in

Payers reporting APC 1138

Payer pricing summary

Low

$35

Average

$99

Median

$73

High

$642

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$70	$70	$1	2%	—	$66 – $73
2	Humana fee schedule · outpatient · +5 other terms	161	$70	$71	$20	28%	—	$63 – $278
3	Aetna fee schedule · outpatient · +3 other terms	155	$70	$71	$8	11%	—	$65 – $115
4	WellCare fee schedule · outpatient · +2 other terms	131	$72	$72	$3	4%	—	$66 – $92
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$70	$70	$3	4%	—	$63 – $94
6	Devoted fee schedule · outpatient · +1 other terms	122	$70	$69	$1	2%	—	$66 – $73
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$71	$70	$3	4%	—	$66 – $75
8	Molina fee schedule · outpatient · +3 other terms	69	$102	$99	$39	39%	—	$66 – $182
9	Superior Healthplan fee schedule · outpatient	40	$73	$73	$1	1%	—	$69 – $74
10	Anthem fee schedule · outpatient · +1 other terms	31	$70	$69	$2	3%	—	$66 – $72
11	Oscar fee schedule · outpatient · +2 other terms	27	$69	$75	$14	19%	—	$68 – $115
12	Amerihealth Caritas fee schedule · outpatient	17	$84	$82	$3	4%	—	$75 – $84
13	Cigna fee schedule · outpatient · +1 other terms	16	$71	$72	$7	9%	—	$66 – $95
14	Clover fee schedule · outpatient · +2 other terms	15	$74	$73	$1	2%	—	$69 – $74
15	Kaiser fee schedule · outpatient · +2 other terms	15	$71	$70	$1	2%	—	$67 – $71
16	Ambetter case rate · outpatient · +2 other terms	12	$120	$136	$19	14%	—	$120 – $158
17	Medicare case rate · outpatient · +2 other terms	8	$67	$67	—	—	—	$67 – $67
18	Optum fee schedule · outpatient · +1 other terms	8	$70	$103	$49	47%	—	$66 – $176
19	Highmark case rate · outpatient · +1 other terms	5	$67	$90	$32	35%	—	$67 – $146
20	Tricare facility · fee schedule · outpatient	5	$67	$67	—	—	—	$67 – $67
21	Excellus case rate · outpatient	4	$91	$93	$34	37%	—	$67 – $150
22	Sanford Health Plan case rate · outpatient	3	$104	$105	$11	10%	—	$87 – $120
23	Aetna Better Health facility · case rate · outpatient	1	$51	$51	$17	32%	—	$35 – $68
24	Bcbs Nj facility · other · outpatient	1	$70	$70	—	—	—	$70 – $70
25	Magellan fee schedule · outpatient	1	$70	$70	—	—	—	$70 – $70

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