APC 813

Imetelstat 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

Injection, imetelstat, 1 mg

Payers reporting APC 813

Payer pricing summary

Low

$58

Average

$372

Median

$65

High

$5.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$59	$59	$3	5%	—	$55 – $100
2	Humana fee schedule · outpatient · +3 other terms	160	$58	$61	$17	27%	—	$55 – $233
3	Aetna fee schedule · outpatient · +3 other terms	155	$59	$60	$7	11%	—	$55 – $97
4	WellCare fee schedule · outpatient · +1 other terms	130	$60	$61	$2	4%	—	$55 – $77
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$59	$59	$1	2%	—	$57 – $61
6	Devoted fee schedule · outpatient · +1 other terms	122	$58	$58	$0	1%	—	$58 – $61
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$61	$60	$2	3%	—	$58 – $64
8	Molina fee schedule · outpatient · +1 other terms	68	$86	$83	$32	38%	—	$55 – $153
9	Superior Healthplan fee schedule · outpatient	40	$61	$61	$0	0%	—	$61 – $63
10	Anthem fee schedule · outpatient · +1 other terms	31	$58	$58	$2	3%	—	$55 – $60
11	Oscar fee schedule · outpatient · +1 other terms	27	$57	$63	$12	19%	—	$57 – $97
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$70	$70	$1	1%	—	$68 – $70
13	Cigna fee schedule · outpatient · +1 other terms	15	$59	$59	$3	4%	—	$55 – $63
14	Clover fee schedule · outpatient · +2 other terms	15	$61	$61	$0	1%	—	$61 – $63
15	Kaiser fee schedule · outpatient · +2 other terms	15	$59	$59	$1	2%	—	$57 – $59
16	Ambetter case rate · outpatient · +2 other terms	12	$103	$112	$11	10%	—	$103 – $124
17	Medicare facility · fee schedule · outpatient · +1 other terms	10	$58	$689	$2.4k	343%	—	$58 – $11.2k
18	Optum fee schedule · outpatient · +1 other terms	8	$59	$88	$42	47%	—	$57 – $149
19	Medica facility · fee schedule · outpatient	5	$61	$61	$0	0%	—	$61 – $61
20	Highmark case rate · outpatient · +2 other terms	3	$57	$57	—	—	—	$57 – $57
21	Excellus case rate · outpatient	2	$113	$113	$15	13%	—	$99 – $128
22	Bcbs Nj facility · other · outpatient	1	$58	$58	—	—	—	$58 – $58
23	Magellan fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
24	Sanford Health Plan case rate · outpatient	1	$87	$87	$7	8%	—	$80 – $94