APC 9113

Olipudase alfa 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 olipudase alfa-rpcp 1

Payers reporting APC 9113

Payer pricing summary

Low

$206

Average

$437

Median

$412

High

$669

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$399	$400	$6	2%	—	$377 – $415
2	Humana fee schedule · outpatient · +3 other terms	161	$396	$413	$113	27%	—	$377 – $1.6k
3	Aetna fee schedule · outpatient · +3 other terms	155	$399	$408	$46	11%	—	$377 – $668
4	WellCare fee schedule · outpatient · +2 other terms	131	$407	$413	$16	4%	—	$382 – $522
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$403	$401	$15	4%	—	$382 – $573
6	Devoted fee schedule · outpatient	122	$396	$396	$3	1%	—	$396 – $415
7	Cigna Healthspring fee schedule · outpatient	110	$411	$405	$11	3%	—	$396 – $437
8	Molina fee schedule · outpatient · +3 other terms	69	$582	$566	$217	38%	—	$382 – $1.0k
9	Superior Healthplan fee schedule · outpatient	40	$415	$416	$2	0%	—	$415 – $425
10	Anthem fee schedule · outpatient · +1 other terms	31	$396	$396	$9	2%	—	$382 – $407
11	Oscar fee schedule · outpatient · +1 other terms	27	$388	$429	$85	20%	—	$388 – $668
12	Amerihealth Caritas fee schedule · outpatient	17	$475	$472	$5	1%	—	$462 – $475
13	Cigna fee schedule · outpatient · +1 other terms	15	$403	$401	$16	4%	—	$382 – $427
14	Clover fee schedule · outpatient · +1 other terms	15	$415	$416	$2	1%	—	$415 – $425
15	Kaiser fee schedule · outpatient · +1 other terms	15	$403	$401	$5	1%	—	$389 – $403
16	Ambetter case rate · outpatient · +2 other terms	12	$709	$779	$84	11%	—	$709 – $878
17	Medicare case rate · outpatient · +1 other terms	8	$394	$394	—	—	—	$394 – $394
18	Optum fee schedule · outpatient	8	$400	$597	$283	47%	—	$394 – $1.0k
19	Highmark case rate · outpatient	5	$394	$394	—	—	—	$394 – $394
20	Tricare facility · fee schedule · outpatient	5	$394	$394	—	—	—	$394 – $394
21	Excellus case rate · outpatient	4	$537	$549	$201	37%	—	$394 – $884
22	Sanford Health Plan case rate · outpatient	3	$571	$575	$58	10%	—	$477 – $657
23	Aetna Better Health facility · case rate · outpatient	1	$304	$304	$98	32%	—	$206 – $402
24	Magellan fee schedule · outpatient	1	$396	$396	—	—	—	$396 – $396
25	Medicaid facility · case rate · outpatient	1	$206	$206	—	—	—	$206 – $206