APC 759

Long-acting naltrexone 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

Naltrexone, depot form

Payers reporting APC 759

Payer pricing summary

Low

Average

$53

Median

High

$703

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$4	$4	$0	2%	—	$4 – $5
2	Humana fee schedule · outpatient · +3 other terms	161	$4	$4	$1	27%	—	$4 – $17
3	Aetna fee schedule · outpatient · +3 other terms	155	$4	$4	$1	12%	—	$4 – $7
4	WellCare fee schedule · outpatient · +2 other terms	131	$4	$4	$0	5%	—	$4 – $6
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$4	$4	$0	2%	—	$4 – $5
6	Devoted fee schedule · outpatient · +1 other terms	122	$4	$4	$0	2%	—	$4 – $5
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$4	$4	$0	3%	—	$4 – $5
8	Molina fee schedule · outpatient · +2 other terms	69	$6	$6	$2	38%	—	$4 – $11
9	Superior Healthplan fee schedule · outpatient	40	$4	$4	$0	1%	—	$4 – $5
10	Anthem fee schedule · outpatient · +1 other terms	31	$4	$4	$0	2%	—	$4 – $5
11	Oscar fee schedule · outpatient · +3 other terms	27	$4	$5	$1	19%	—	$4 – $7
12	Amerihealth Caritas fee schedule · outpatient	17	$5	$5	$0	1%	—	$5 – $5
13	Cigna fee schedule · outpatient · +2 other terms	16	$4	$4	$0	6%	—	$4 – $5
14	Medicare facility · fee schedule · outpatient · +2 other terms	16	$4	$4	$0	3%	—	$4 – $5
15	Clover fee schedule · outpatient · +2 other terms	15	$4	$4	$0	2%	—	$4 – $5
16	Kaiser fee schedule · outpatient · +2 other terms	15	$4	$4	$0	1%	—	$4 – $4
17	Ambetter case rate · outpatient · +2 other terms	12	$8	$8	$1	11%	—	$8 – $9
18	Optum fee schedule · outpatient · +1 other terms	8	$4	$6	$3	48%	—	$4 – $11
19	Medica facility · fee schedule · outpatient	5	$4	$4	$0	0%	—	$4 – $4
20	Highmark facility · other · outpatient · +1 other terms	4	$7	$153	$441	289%	—	$3 – $1.5k
21	Bcbs Nj facility · other · outpatient	3	$4	$4	—	—	—	$4 – $4
22	Excellus case rate · outpatient	2	$8	$8	$1	13%	—	$7 – $10
23	Magellan fee schedule · outpatient	1	$4	$4	—	—	—	$4 – $4
24	Sanford Health Plan case rate · outpatient	1	$6	$6	$1	8%	—	$6 – $7