APC 1747

Monovisc injection, per dose

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

Monovisc inj per dose

Payers reporting APC 1747

Payer pricing summary

Low

$333

Average

$676

Median

$620

High

$1.2k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$869	$888	$325	37%	2–20	$637 – $1.4k
2	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$570	$578	$26	5%	—	$562 – $668
3	Humana fee schedule · outpatient · +4 other terms	161	$565	$592	$162	27%	—	$543 – $2.3k
4	Aetna fee schedule · outpatient · +5 other terms	155	$570	$591	$74	13%	—	$560 – $988
5	WellCare fee schedule · outpatient · +2 other terms	131	$582	$614	$44	7%	—	$565 – $746
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$576	$596	$47	8%	—	$553 – $978
7	Devoted fee schedule · outpatient · +2 other terms	122	$565	$584	$37	6%	—	$565 – $655
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$587	$588	$32	5%	—	$565 – $701
9	Molina fee schedule · outpatient · +2 other terms	69	$832	$834	$327	39%	—	$565 – $1.5k
10	Superior Healthplan fee schedule · outpatient	40	$593	$611	$37	6%	—	$593 – $688
11	Anthem fee schedule · outpatient · +2 other terms	31	$565	$570	$7	1%	—	$565 – $582
12	Oscar fee schedule · outpatient · +1 other terms	27	$593	$636	$128	20%	—	$553 – $988
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$678	$672	$13	2%	—	$644 – $678
14	Cigna fee schedule · outpatient · +2 other terms	16	$576	$609	$107	18%	—	$565 – $1.0k
15	Clover fee schedule · outpatient · +2 other terms	15	$688	$644	$47	7%	—	$593 – $688
16	Kaiser fee schedule · outpatient · +2 other terms	15	$576	$575	$3	0%	—	$565 – $576
17	Ambetter case rate · outpatient · +3 other terms	12	$1.1k	$1.3k	$208	16%	—	$1.1k – $1.6k
18	Medicare facility · fee schedule · outpatient · +2 other terms	9	$565	$575	$28	5%	—	$565 – $655
19	Optum fee schedule · outpatient · +2 other terms	8	$583	$906	$470	52%	—	$565 – $1.6k
20	Highmark case rate · outpatient · +2 other terms	5	$637	$861	$305	35%	—	$637 – $1.4k
21	Tricare facility · fee schedule · outpatient	5	$637	$637	—	—	—	$637 – $637
22	Bcbs Nj facility · other · outpatient	3	$565	$565	—	—	—	$565 – $565
23	Sanford Health Plan case rate · outpatient	3	$766	$771	$78	10%	—	$640 – $882
24	Medica facility · fee schedule · outpatient	2	$593	$593	—	—	—	$593 – $593
25	Aetna Better Health facility · case rate · outpatient	1	$491	$491	$158	32%	—	$333 – $649

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