APC 715

Pegunigalsidase alfa infusion

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

Pegunigalsidase alfa-iwxj

Payers reporting APC 715

Payer pricing summary

Low

$225

Average

$278

Median

$240

High

$453

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	174	$228	$228	$3	1%	—	$223 – $238
2	Humana fee schedule · outpatient · +3 other terms	161	$226	$235	$64	27%	—	$217 – $904
3	Aetna fee schedule · outpatient · +1 other terms	155	$228	$234	$29	12%	—	$223 – $397
4	WellCare fee schedule · outpatient · +1 other terms	131	$233	$234	$8	4%	—	$226 – $298
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$228	$228	$3	1%	—	$221 – $235
6	Devoted fee schedule · outpatient	122	$226	$225	$1	1%	—	$223 – $237
7	Cigna Healthspring fee schedule · outpatient	110	$235	$230	$7	3%	—	$223 – $244
8	Molina fee schedule · outpatient · +1 other terms	69	$333	$323	$124	38%	—	$227 – $592
9	Superior Healthplan fee schedule · outpatient	40	$237	$237	$1	0%	—	$235 – $237
10	Anthem fee schedule · outpatient · +1 other terms	31	$227	$228	$3	1%	—	$226 – $233
11	Oscar fee schedule · outpatient	27	$221	$246	$54	22%	—	$219 – $397
12	Amerihealth Caritas fee schedule · outpatient	17	$271	$269	$5	2%	—	$257 – $271
13	Cigna fee schedule · outpatient · +1 other terms	15	$230	$233	$6	3%	—	$227 – $244
14	Clover fee schedule · outpatient · +1 other terms	15	$235	$236	$1	1%	—	$235 – $237
15	Kaiser fee schedule · outpatient · +1 other terms	15	$230	$230	$1	1%	—	$226 – $231
16	Ambetter case rate · outpatient · +1 other terms	12	$411	$453	$50	11%	—	$411 – $513
17	Medicare case rate · outpatient	8	$228	$228	—	—	—	$228 – $228
18	Optum fee schedule · outpatient	8	$227	$338	$158	47%	—	$226 – $564
19	Highmark case rate · outpatient	3	$228	$228	—	—	—	$228 – $228
20	Excellus case rate · outpatient	2	$454	$454	$59	13%	—	$395 – $512
21	Magellan fee schedule · outpatient	1	$226	$226	—	—	—	$226 – $226
22	Sanford Health Plan case rate · outpatient	1	$349	$349	$28	8%	—	$321 – $378