APC 875

Euflexxa knee joint injection, per dose

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

Euflexxa inj per dose

Payers reporting APC 875

Payer pricing summary

Low

$105

Average

$137

Median

$111

High

$300

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$107	$107	$5	5%	—	$98 – $127
2	Humana fee schedule · outpatient · +3 other terms	161	$105	$109	$31	28%	—	$94 – $422
3	Aetna fee schedule · outpatient · +3 other terms	155	$107	$111	$19	17%	—	$97 – $211
4	WellCare fee schedule · outpatient · +2 other terms	131	$109	$108	$5	4%	—	$100 – $139
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$108	$107	$4	4%	—	$98 – $123
6	Devoted fee schedule · outpatient · +2 other terms	122	$105	$105	$2	2%	—	$98 – $111
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$108	$105	$5	5%	—	$98 – $113
8	Molina fee schedule · outpatient · +1 other terms	69	$155	$152	$58	38%	—	$107 – $276
9	Superior Healthplan fee schedule · outpatient	40	$111	$110	$2	1%	—	$103 – $111
10	Anthem fee schedule · outpatient · +2 other terms	31	$108	$109	$6	6%	—	$98 – $123
11	Oscar fee schedule · outpatient · +1 other terms	27	$103	$118	$33	28%	—	$103 – $211
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$127	$124	$6	5%	—	$112 – $127
13	Cigna fee schedule · outpatient · +2 other terms	16	$114	$119	$16	14%	—	$108 – $176
14	Medicare facility · fee schedule · outpatient · +2 other terms	16	$105	$105	$2	2%	—	$98 – $106
15	Clover fee schedule · outpatient · +2 other terms	15	$111	$110	$2	2%	—	$103 – $111
16	Kaiser fee schedule · outpatient · +2 other terms	15	$108	$109	$5	5%	—	$105 – $123
17	Ambetter case rate · outpatient · +2 other terms	12	$202	$234	$37	16%	—	$202 – $278
18	Optum fee schedule · outpatient · +2 other terms	8	$107	$156	$72	46%	—	$98 – $264
19	Medica facility · fee schedule · outpatient	5	$110	$110	$1	0%	—	$110 – $111
20	Highmark facility · other · outpatient · +2 other terms	4	$161	$159	$72	46%	—	$58 – $325
21	Bcbs Nj facility · other · outpatient	3	$105	$105	—	—	—	$105 – $105
22	Excellus case rate · outpatient	2	$224	$224	$29	13%	—	$195 – $252
23	Magellan fee schedule · outpatient	1	$105	$105	—	—	—	$105 – $105
24	Sanford Health Plan case rate · outpatient	1	$174	$174	$14	8%	—	$160 – $188