APC 726

Dexrazoxane injection

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

Dexrazoxane HCl injection

Payers reporting APC 726

Payer pricing summary

Low

$49

Average

$120

Median

$65

High

$643

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$59	$59	$9	15%	—	$41 – $85
2	Humana fee schedule · outpatient · +4 other terms	161	$58	$58	$19	33%	—	$40 – $232
3	Aetna fee schedule · outpatient · +3 other terms	155	$59	$61	$17	28%	—	$41 – $142
4	WellCare fee schedule · outpatient · +2 other terms	131	$60	$55	$8	14%	—	$42 – $85
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$59	$57	$7	13%	—	$41 – $82
6	Devoted fee schedule · outpatient · +2 other terms	122	$58	$55	$5	9%	—	$41 – $61
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$59	$53	$8	15%	—	$41 – $62
8	Molina fee schedule · outpatient · +2 other terms	69	$85	$81	$33	41%	—	$45 – $152
9	Superior Healthplan fee schedule · outpatient	40	$61	$59	$5	8%	—	$44 – $61
10	Anthem fee schedule · outpatient · +2 other terms	31	$59	$63	$10	16%	—	$41 – $82
11	Oscar fee schedule · outpatient · +2 other terms	27	$57	$66	$27	41%	—	$49 – $142
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$70	$66	$9	13%	—	$47 – $70
13	Medicare facility · fee schedule · outpatient · +2 other terms	17	$58	$56	$7	13%	—	$31 – $83
14	Cigna fee schedule · outpatient · +2 other terms	16	$63	$78	$36	46%	—	$59 – $211
15	Clover fee schedule · outpatient · +3 other terms	15	$52	$55	$5	9%	—	$44 – $61
16	Kaiser fee schedule · outpatient · +2 other terms	15	$59	$62	$8	12%	—	$58 – $82
17	Ambetter case rate · outpatient · +2 other terms	12	$114	$150	$43	29%	—	$114 – $201
18	Optum fee schedule · outpatient · +3 other terms	8	$59	$77	$30	39%	—	$41 – $124
19	Medica facility · fee schedule · outpatient	5	$60	$61	$0	0%	—	$60 – $61
20	Highmark facility · other · outpatient · +2 other terms	4	$90	$108	$83	76%	—	$59 – $494
21	Bcbs Nj facility · other · outpatient	3	$58	$58	—	—	—	$58 – $58
22	Excellus case rate · outpatient	2	$125	$125	$16	13%	—	$109 – $142
23	Magellan facility · fee schedule · outpatient · +1 other terms	2	$61	$61	—	—	—	$61 – $61
24	Sanford Health Plan case rate · outpatient	1	$49	$49	$4	8%	—	$45 – $53