APC 772

Pegulicianine injection, per milligram

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, pegulicianine, 1 mg

Payers reporting APC 772

Payer pricing summary

Low

$38

Average

$44

Median

$39

High

$75

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	173	$38	$38	$0	1%	—	$37 – $39
2	Humana fee schedule · outpatient · +1 other terms	160	$38	$39	$11	27%	—	$36 – $150
3	Aetna fee schedule · outpatient · +1 other terms	155	$38	$39	$5	12%	—	$37 – $66
4	WellCare fee schedule · outpatient · +1 other terms	130	$39	$39	$1	3%	—	$38 – $50
5	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	125	$38	$38	$0	1%	—	$37 – $39
6	Devoted fee schedule · outpatient	122	$38	$38	$0	0%	—	$38 – $39
7	Cigna Healthspring fee schedule · outpatient	110	$39	$38	$1	3%	—	$38 – $41
8	Molina fee schedule · outpatient · +1 other terms	68	$55	$54	$21	38%	—	$38 – $98
9	Superior Healthplan fee schedule · outpatient	40	$39	$39	—	—	—	$39 – $39
10	Anthem fee schedule · outpatient · +1 other terms	31	$38	$38	$0	1%	—	$38 – $39
11	Oscar fee schedule · outpatient	27	$37	$41	$9	22%	—	$37 – $66
12	Amerihealth Caritas fee schedule · outpatient	17	$45	$45	$1	2%	—	$43 – $45
13	Cigna fee schedule · outpatient · +1 other terms	15	$38	$39	$1	3%	—	$38 – $41
14	Clover fee schedule · outpatient · +1 other terms	15	$39	$39	—	—	—	$39 – $39
15	Kaiser fee schedule · outpatient · +1 other terms	15	$38	$38	$0	0%	—	$38 – $38
16	Ambetter case rate · outpatient · +1 other terms	12	$68	$75	$9	12%	—	$68 – $86
17	Medicare case rate · outpatient	8	$38	$38	—	—	—	$38 – $38
18	Optum fee schedule · outpatient	8	$38	$56	$27	47%	—	$38 – $94
19	Highmark case rate · outpatient	3	$38	$38	—	—	—	$38 – $38
20	Excellus case rate · outpatient	2	$75	$75	$10	13%	—	$65 – $84
21	Magellan fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
22	Sanford Health Plan case rate · outpatient	1	$55	$55	$4	8%	—	$51 – $60