APC 737

Cipaglucosidase alfa injection, 5 mg

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, cipaglucosidase, 5 m

Payers reporting APC 737

Payer pricing summary

Low

$91

Average

$179

Median

$97

High

$969

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	173	$92	$93	$2	2%	—	$89 – $98
2	Humana fee schedule · outpatient · +3 other terms	160	$91	$96	$26	27%	—	$89 – $365
3	Aetna fee schedule · outpatient · +2 other terms	155	$92	$95	$11	12%	—	$89 – $156
4	WellCare fee schedule · outpatient · +2 other terms	130	$94	$96	$4	4%	—	$89 – $120
5	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	125	$93	$93	$2	2%	—	$89 – $99
6	Devoted fee schedule · outpatient · +1 other terms	122	$91	$92	$1	1%	—	$91 – $96
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$95	$94	$3	3%	—	$91 – $104
8	Molina fee schedule · outpatient · +1 other terms	68	$134	$132	$50	38%	—	$89 – $239
9	Superior Healthplan fee schedule · outpatient	40	$96	$96	$1	1%	—	$96 – $101
10	Anthem fee schedule · outpatient · +1 other terms	31	$91	$92	$2	2%	—	$89 – $96
11	Oscar fee schedule · outpatient · +1 other terms	27	$91	$99	$20	20%	—	$89 – $156
12	Amerihealth Caritas fee schedule · outpatient	17	$109	$110	$0	0%	—	$109 – $110
13	Cigna fee schedule · outpatient · +2 other terms	15	$93	$93	$3	3%	—	$89 – $99
14	Clover fee schedule · outpatient · +2 other terms	15	$97	$97	$1	1%	—	$96 – $101
15	Kaiser fee schedule · outpatient · +2 other terms	15	$93	$93	$1	1%	—	$91 – $93
16	Ambetter case rate · outpatient · +1 other terms	12	$164	$180	$19	10%	—	$164 – $202
17	Medicare case rate · outpatient · +1 other terms	8	$91	$91	—	—	—	$91 – $91
18	Optum fee schedule · outpatient · +1 other terms	8	$94	$139	$67	48%	—	$91 – $241
19	Highmark facility · other · outpatient · +1 other terms	4	$141	$322	$500	155%	—	$93 – $1.6k
20	Bcbs Nj facility · other · outpatient	3	$91	$91	—	—	—	$91 – $91
21	Excellus case rate · outpatient	2	$181	$181	$23	13%	—	$158 – $205
22	Magellan fee schedule · outpatient	1	$91	$91	—	—	—	$91 – $91
23	Sanford Health Plan case rate · outpatient	1	$136	$136	$11	8%	—	$125 – $147