APC 1543

New technology procedure, level 6

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 6

Payers reporting APC 1543

Payer pricing summary

Low

$236

Average

$529

Median

$464

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$452	$452	$19	4%	—	$393 – $570
2	Humana fee schedule · outpatient · +2 other terms	161	$444	$466	$134	29%	—	$387 – $1.8k
3	Aetna fee schedule · outpatient · +2 other terms	155	$455	$461	$61	13%	—	$391 – $788
4	WellCare fee schedule · outpatient · +1 other terms	131	$456	$458	$22	5%	—	$395 – $558
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$443	$453	$25	6%	—	$387 – $578
6	Devoted fee schedule · outpatient	122	$443	$443	$13	3%	—	$387 – $465
7	Cigna Healthspring fee schedule · outpatient	110	$465	$456	$19	4%	—	$443 – $493
8	Molina fee schedule · outpatient · +2 other terms	69	$652	$635	$243	38%	—	$418 – $1.2k
9	Superior Healthplan fee schedule · outpatient	40	$465	$465	$0	0%	—	$465 – $466
10	Anthem fee schedule · outpatient · +1 other terms	31	$465	$459	$25	5%	—	$419 – $567
11	Oscar fee schedule · outpatient	27	$434	$492	$107	22%	—	$434 – $788
12	Amerihealth Caritas fee schedule · outpatient	17	$553	$540	$27	5%	—	$480 – $553
13	Cigna fee schedule · outpatient · +1 other terms	15	$450	$448	$11	3%	—	$426 – $469
14	Clover fee schedule · outpatient · +1 other terms	15	$465	$446	$22	5%	—	$406 – $465
15	Kaiser fee schedule · outpatient · +1 other terms	15	$474	$472	$5	1%	—	$460 – $474
16	Medicare case rate · outpatient	8	$410	$415	$10	2%	—	$410 – $439
17	Optum fee schedule · outpatient	8	$443	$662	$315	48%	—	$424 – $1.1k
18	Ambetter case rate · outpatient · +2 other terms	7	$738	$741	$7	1%	—	$738 – $757
19	Tricare case rate · outpatient	7	$394	$394	—	—	—	$394 – $394
20	Excellus case rate · outpatient	5	$1.3k	$1.3k	$322	26%	—	$776 – $1.8k
21	Highmark case rate · outpatient	5	$550	$782	$294	38%	—	$550 – $1.3k
22	Sanford Health Plan case rate · outpatient	3	$653	$657	$67	10%	—	$546 – $752
23	Aetna Better Health facility · case rate · outpatient	1	$348	$348	$112	32%	—	$236 – $460
24	Magellan fee schedule · outpatient	1	$430	$430	—	—	—	$430 – $430
25	Medicaid facility · case rate · outpatient	1	$236	$236	—	—	—	$236 – $236