APC 902

Onabotulinumtoxin 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,onabotulinumtoxinA

Payers reporting APC 902

Payer pricing summary

Low

Average

$39

Median

High

$313

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	175	$7	$7	$4	60%	—	$6 – $73
2	Humana fee schedule · outpatient · +4 other terms	161	$7	$7	$2	27%	—	$6 – $26
3	Aetna fee schedule · outpatient · +3 other terms	155	$7	$7	$1	12%	—	$6 – $11
4	WellCare fee schedule · outpatient · +2 other terms	131	$7	$7	$0	3%	—	$6 – $9
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	125	$7	$7	$0	1%	—	$6 – $7
6	Devoted fee schedule · outpatient · +2 other terms	122	$7	$7	$0	0%	—	$7 – $7
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$7	$7	$0	3%	—	$7 – $7
8	Molina fee schedule · outpatient · +3 other terms	69	$10	$9	$4	38%	—	$6 – $17
9	Superior Healthplan fee schedule · outpatient	40	$7	$7	—	—	—	$7 – $7
10	Anthem fee schedule · outpatient · +3 other terms	31	$7	$7	$0	1%	—	$6 – $7
11	Oscar fee schedule · outpatient · +3 other terms	27	$6	$7	$1	20%	—	$6 – $11
12	Medicare facility · fee schedule · outpatient · +2 other terms	22	$7	$15	$73	490%	—	$7 – $651
13	Ambetter facility · fee schedule · outpatient · +2 other terms	18	$11	$49	$228	468%	—	$7 – $1.4k
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$8	$8	$0	2%	—	$7 – $8
15	Cigna fee schedule · outpatient · +2 other terms	17	$7	$7	$2	31%	—	$6 – $16
16	Clover fee schedule · outpatient · +3 other terms	15	$7	$7	—	—	—	$7 – $7
17	Kaiser fee schedule · outpatient · +2 other terms	15	$7	$7	$0	0%	—	$7 – $7
18	Optum facility · per diem · outpatient · +3 other terms	12	$7	$7	—	—	—	$7 – $7
19	Medica facility · fee schedule · outpatient	5	$7	$7	$0	0%	—	$7 – $7
20	Highmark facility · other · outpatient · +2 other terms	4	$10	$77	$210	273%	—	$4 – $1.2k
21	Bcbs Nj facility · other · outpatient	3	$7	$7	—	—	—	$7 – $7
22	Magellan facility · fee schedule · outpatient · +1 other terms	3	$7	$7	—	—	—	$7 – $7
23	Caresource facility · fee schedule · outpatient	2	$7	$7	—	—	—	$7 – $7
24	Excellus case rate · outpatient	2	$13	$13	$2	13%	—	$11 – $15
25	Bcbs Al facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7

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