APC 9042

Glucagon 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

Glucagon hydrochloride

Payers reporting APC 9042

Payer pricing summary

Low

$95

Average

$372

Median

$182

High

$3.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Excellus case rate · outpatient	4	$249	$255	$93	37%	87–96	$182 – $410
2	Bcbs Mn other · outpatient	1	$1.9k	$1.9k	—	—	1–10	$1.9k – $1.9k
3	Phcs other · outpatient	1	$3.1k	$3.1k	—	—	1–10	$3.1k – $3.1k
4	UnitedHealthcare fee schedule · outpatient · +7 other terms	174	$167	$163	$15	9%	—	$117 – $193
5	Humana fee schedule · outpatient · +5 other terms	161	$165	$162	$52	32%	—	$113 – $659
6	Aetna fee schedule · outpatient · +5 other terms	155	$166	$166	$33	20%	—	$116 – $322
7	WellCare fee schedule · outpatient · +2 other terms	131	$170	$157	$19	12%	—	$120 – $218
8	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	126	$168	$162	$21	13%	—	$117 – $284
9	Devoted fee schedule · outpatient · +2 other terms	122	$165	$158	$13	9%	—	$117 – $173
10	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$168	$152	$23	15%	—	$117 – $176
11	Molina fee schedule · outpatient · +4 other terms	69	$237	$226	$94	42%	—	$128 – $432
12	Superior Healthplan fee schedule · outpatient	40	$173	$167	$12	7%	—	$123 – $173
13	Anthem fee schedule · outpatient · +2 other terms	31	$168	$169	$12	7%	—	$117 – $188
14	Oscar fee schedule · outpatient · +2 other terms	27	$162	$180	$52	29%	—	$143 – $322
15	Ambetter facility · fee schedule · outpatient · +3 other terms	17	$252	$264	$98	37%	—	$123 – $420
16	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$198	$187	$24	13%	—	$134 – $198
17	Cigna fee schedule · outpatient · +5 other terms	17	$178	$212	$90	43%	—	$168 – $465
18	Medicare facility · fee schedule · outpatient · +2 other terms	16	$165	$147	$24	16%	—	$105 – $165
19	Clover fee schedule · outpatient · +3 other terms	15	$154	$159	$13	8%	—	$123 – $173
20	Kaiser fee schedule · outpatient · +2 other terms	15	$168	$170	$7	4%	—	$165 – $188
21	Optum facility · per diem · outpatient · +3 other terms	10	$165	$165	—	—	—	$165 – $165
22	Highmark case rate · outpatient · +2 other terms	5	$182	$247	$87	35%	—	$182 – $400
23	Tricare facility · fee schedule · outpatient	5	$182	$182	—	—	—	$182 – $182
24	Bcbs Nj facility · other · outpatient	3	$165	$165	—	—	—	$165 – $165
25	Magellan facility · fee schedule · outpatient · +1 other terms	3	$173	$173	—	—	—	$173 – $173

Page 1 of 2 · 33 payers