APC 1546

New technology procedure, Level 9 (APC 1546)

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 9

Payers reporting APC 1546

Payer pricing summary

Low

$393

Average

$882

Median

$773

High

$2.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$753	$753	$32	4%	—	$654 – $950
2	Humana fee schedule · outpatient · +2 other terms	161	$739	$777	$223	29%	—	$645 – $3.1k
3	Aetna fee schedule · outpatient · +2 other terms	155	$758	$768	$101	13%	—	$651 – $1.3k
4	WellCare fee schedule · outpatient · +1 other terms	131	$760	$763	$36	5%	—	$658 – $930
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$738	$754	$42	6%	—	$645 – $964
6	Devoted fee schedule · outpatient	122	$738	$739	$21	3%	—	$645 – $775
7	Cigna Healthspring fee schedule · outpatient	110	$775	$759	$32	4%	—	$738 – $821
8	Molina fee schedule · outpatient · +2 other terms	69	$1.1k	$1.1k	$406	38%	—	$697 – $1.9k
9	Superior Healthplan fee schedule · outpatient	40	$775	$775	$0	0%	—	$775 – $776
10	Anthem fee schedule · outpatient · +1 other terms	31	$775	$765	$42	5%	—	$697 – $945
11	Oscar fee schedule · outpatient	27	$723	$819	$179	22%	—	$723 – $1.3k
12	Amerihealth Caritas fee schedule · outpatient	17	$921	$899	$46	5%	—	$800 – $921
13	Cigna fee schedule · outpatient · +1 other terms	15	$750	$747	$19	3%	—	$709 – $781
14	Clover fee schedule · outpatient · +1 other terms	15	$775	$743	$37	5%	—	$677 – $775
15	Kaiser fee schedule · outpatient · +1 other terms	15	$790	$786	$9	1%	—	$766 – $790
16	Medicare case rate · outpatient	8	$683	$691	$16	2%	—	$683 – $732
17	Optum fee schedule · outpatient	8	$737	$1.1k	$525	48%	—	$706 – $1.8k
18	Ambetter case rate · outpatient · +2 other terms	7	$1.2k	$1.2k	$11	1%	—	$1.2k – $1.3k
19	Tricare case rate · outpatient	7	$656	$656	—	—	—	$656 – $656
20	Excellus case rate · outpatient	5	$2.1k	$2.1k	$537	26%	—	$1.3k – $3.1k
21	Highmark case rate · outpatient	5	$917	$1.3k	$489	38%	—	$917 – $2.2k
22	Sanford Health Plan case rate · outpatient	3	$1.1k	$1.1k	$111	10%	—	$909 – $1.3k
23	Aetna Better Health facility · case rate · outpatient	1	$579	$579	$187	32%	—	$393 – $766
24	Magellan fee schedule · outpatient	1	$717	$717	—	—	—	$717 – $717
25	Medicaid facility · case rate · outpatient	1	$393	$393	—	—	—	$393 – $393