APC 1492

New technology service, level 1

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

New Technology - Level 1

Payers reporting APC 1492

Payer pricing summary

Low

Average

$18

Median

$16

High

$43

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$16	$16	$1	4%	—	$14 – $20
2	Humana fee schedule · outpatient · +2 other terms	161	$15	$16	$5	29%	—	$13 – $63
3	Aetna fee schedule · outpatient · +2 other terms	155	$16	$16	$2	13%	—	$13 – $27
4	WellCare fee schedule · outpatient · +1 other terms	131	$16	$16	$1	5%	—	$14 – $19
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$15	$16	$1	6%	—	$13 – $20
6	Devoted fee schedule · outpatient	122	$15	$15	$0	3%	—	$13 – $16
7	Cigna Healthspring fee schedule · outpatient	110	$16	$16	$1	4%	—	$15 – $17
8	Molina fee schedule · outpatient · +2 other terms	69	$22	$22	$8	38%	—	$14 – $40
9	Superior Healthplan fee schedule · outpatient	40	$16	$16	$0	0%	—	$16 – $16
10	Anthem fee schedule · outpatient · +1 other terms	31	$16	$16	$1	5%	—	$14 – $20
11	Oscar fee schedule · outpatient	27	$15	$17	$4	22%	—	$15 – $27
12	Amerihealth Caritas fee schedule · outpatient	17	$19	$19	$1	5%	—	$17 – $19
13	Cigna fee schedule · outpatient · +1 other terms	15	$16	$15	$0	2%	—	$15 – $16
14	Clover fee schedule · outpatient · +1 other terms	15	$16	$15	$1	5%	—	$14 – $16
15	Kaiser fee schedule · outpatient · +1 other terms	15	$16	$16	$0	1%	—	$16 – $16
16	Medicare case rate · outpatient	8	$14	$14	$0	2%	—	$14 – $15
17	Optum fee schedule · outpatient	8	$15	$23	$11	48%	—	$15 – $38
18	Ambetter case rate · outpatient · +2 other terms	7	$25	$25	$0	1%	—	$25 – $26
19	Tricare case rate · outpatient	7	$14	$14	—	—	—	$14 – $14
20	Excellus case rate · outpatient	5	$43	$43	$11	26%	—	$27 – $63
21	Highmark case rate · outpatient	5	$19	$27	$10	38%	—	$19 – $44
22	Sanford Health Plan case rate · outpatient	3	$22	$23	$2	10%	—	$19 – $26
23	Aetna Better Health facility · case rate · outpatient	1	$12	$12	$4	32%	—	$8 – $16
24	Magellan fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
25	Medicaid facility · case rate · outpatient	1	$8	$8	—	—	—	$8 – $8