APC 1493

New technology procedure, 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-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

New Technology - Level 1

Payers reporting APC 1493

Payer pricing summary

Low

$13

Average

$30

Median

$26

High

$71

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$26	$26	$1	4%	—	$22 – $32
2	Humana fee schedule · outpatient · +2 other terms	161	$25	$26	$8	29%	—	$22 – $104
3	Aetna fee schedule · outpatient · +2 other terms	155	$26	$26	$3	13%	—	$22 – $45
4	WellCare fee schedule · outpatient · +1 other terms	131	$26	$26	$1	5%	—	$22 – $32
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$25	$26	$1	6%	—	$22 – $33
6	Devoted fee schedule · outpatient	122	$25	$25	$1	3%	—	$22 – $26
7	Cigna Healthspring fee schedule · outpatient	110	$26	$26	$1	4%	—	$25 – $28
8	Molina fee schedule · outpatient · +2 other terms	69	$37	$36	$14	38%	—	$24 – $66
9	Superior Healthplan fee schedule · outpatient	40	$26	$26	$0	0%	—	$26 – $26
10	Anthem fee schedule · outpatient · +1 other terms	31	$26	$26	$1	5%	—	$24 – $32
11	Oscar fee schedule · outpatient	27	$25	$28	$6	22%	—	$25 – $45
12	Amerihealth Caritas fee schedule · outpatient	17	$31	$31	$2	5%	—	$27 – $31
13	Cigna fee schedule · outpatient · +1 other terms	15	$26	$25	$1	3%	—	$24 – $27
14	Clover fee schedule · outpatient · +1 other terms	15	$26	$25	$1	5%	—	$23 – $26
15	Kaiser fee schedule · outpatient · +1 other terms	15	$27	$27	$0	1%	—	$26 – $27
16	Medicare case rate · outpatient	8	$23	$23	$1	2%	—	$23 – $25
17	Optum fee schedule · outpatient	8	$25	$37	$18	48%	—	$24 – $63
18	Ambetter case rate · outpatient · +2 other terms	7	$42	$42	$0	1%	—	$42 – $43
19	Tricare case rate · outpatient	7	$22	$22	—	—	—	$22 – $22
20	Excellus case rate · outpatient	5	$71	$71	$18	26%	—	$44 – $104
21	Highmark case rate · outpatient	5	$31	$44	$17	38%	—	$31 – $73
22	Sanford Health Plan case rate · outpatient	3	$37	$37	$4	10%	—	$31 – $43
23	Aetna Better Health facility · case rate · outpatient	1	$20	$20	$6	32%	—	$13 – $26
24	Magellan fee schedule · outpatient	1	$24	$24	—	—	—	$24 – $24
25	Medicaid facility · case rate · outpatient	1	$13	$13	—	—	—	$13 – $13