APC 728

Injection, mirikizumab-mrkz

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

Inj, mirikizumab-mrkz, 1

Payers reporting APC 728

Payer pricing summary

Low

$39

Average

$300

Median

$44

High

$4.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	173	$42	$42	$3	7%	—	$33 – $48
2	Humana fee schedule · outpatient · +3 other terms	160	$42	$42	$13	30%	—	$31 – $168
3	Aetna fee schedule · outpatient · +3 other terms	155	$42	$43	$7	17%	—	$32 – $79
4	WellCare fee schedule · outpatient · +2 other terms	130	$43	$42	$4	9%	—	$33 – $55
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$43	$42	$3	7%	—	$33 – $46
6	Devoted fee schedule · outpatient · +1 other terms	122	$42	$41	$2	6%	—	$33 – $44
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$43	$40	$5	12%	—	$33 – $45
8	Molina fee schedule · outpatient · +2 other terms	68	$62	$59	$24	41%	—	$36 – $110
9	Superior Healthplan fee schedule · outpatient	40	$44	$44	$2	5%	—	$34 – $44
10	Anthem fee schedule · outpatient · +1 other terms	31	$43	$43	$2	5%	—	$33 – $46
11	Oscar fee schedule · outpatient · +2 other terms	27	$41	$46	$12	25%	—	$41 – $79
12	Amerihealth Caritas fee schedule · outpatient	17	$50	$48	$5	10%	—	$37 – $50
13	Cigna fee schedule · outpatient · +2 other terms	15	$45	$45	$2	4%	—	$43 – $47
14	Clover fee schedule · outpatient · +2 other terms	15	$44	$43	$2	6%	—	$34 – $44
15	Kaiser fee schedule · outpatient · +2 other terms	15	$43	$43	$1	3%	—	$42 – $46
16	Ambetter case rate · outpatient · +2 other terms	12	$77	$83	$7	8%	—	$77 – $91
17	Medicare facility · fee schedule · outpatient · +1 other terms	9	$42	$37	$5	13%	—	$33 – $42
18	Optum fee schedule · outpatient · +1 other terms	8	$42	$60	$28	47%	—	$33 – $105
19	Highmark facility · other · outpatient · +1 other terms	4	$65	$1.1k	$2.8k	250%	—	$43 – $8.6k
20	Bcbs Nj facility · other · outpatient	3	$42	$42	—	—	—	$42 – $42
21	Excellus case rate · outpatient	2	$86	$86	$11	13%	—	$75 – $97
22	First Health facility · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
23	Magellan fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
24	Sanford Health Plan case rate · outpatient	1	$73	$73	$6	8%	—	$67 – $79