APC 852

Eculizumab-aagh 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

Inj, eculizumab-aagh, 2 m

Payers reporting APC 852

Payer pricing summary

Low

$30

Average

$37

Median

$32

High

$62

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	153	$32	$32	$0	1%	—	$32 – $33
2	Humana fee schedule · outpatient · +1 other terms	148	$32	$33	$9	28%	—	$31 – $127
3	Aetna fee schedule · outpatient · +1 other terms	135	$32	$32	$0	1%	—	$31 – $35
4	WellCare fee schedule · outpatient · +2 other terms	127	$33	$33	$1	3%	—	$32 – $42
5	Devoted fee schedule · outpatient	122	$32	$32	$0	0%	—	$32 – $33
6	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	121	$32	$32	$0	1%	—	$31 – $33
7	Cigna Healthspring fee schedule · outpatient	110	$33	$32	$1	3%	—	$32 – $34
8	Molina fee schedule · outpatient · +2 other terms	55	$47	$47	$18	39%	—	$32 – $83
9	Superior Healthplan fee schedule · outpatient	40	$33	$33	$0	0%	—	$33 – $34
10	Anthem fee schedule · outpatient	24	$32	$32	$0	1%	—	$32 – $33
11	Oscar fee schedule · outpatient · +1 other terms	24	$31	$32	$1	3%	—	$31 – $33
12	Amerihealth Caritas fee schedule · outpatient	17	$38	$38	$1	2%	—	$36 – $38
13	Clover fee schedule · outpatient · +1 other terms	15	$34	$33	$0	0%	—	$33 – $34
14	Kaiser fee schedule · outpatient	13	$32	$32	$0	0%	—	$32 – $32
15	Cigna fee schedule · outpatient · +1 other terms	9	$32	$33	$1	3%	—	$32 – $34
16	Medicare case rate · outpatient · +1 other terms	8	$29	$29	$1	2%	—	$29 – $31
17	Optum fee schedule · outpatient	8	$32	$48	$23	48%	—	$31 – $80
18	Ambetter case rate · outpatient · +1 other terms	7	$51	$52	$0	1%	—	$51 – $53
19	Highmark case rate · outpatient	3	$31	$31	—	—	—	$31 – $31
20	Excellus case rate · outpatient	2	$62	$62	$8	13%	—	$54 – $70
21	Magellan fee schedule · outpatient	1	$32	$32	—	—	—	$32 – $32
22	Sanford Health Plan case rate · outpatient	1	$48	$48	$4	8%	—	$44 – $51