APC 9114

Eflapegrastim 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 eflapegrastim-xnst 0.

Payers reporting APC 9114

Payer pricing summary

Low

$11

Average

$28

Median

$28

High

$49

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$24	$26	$6	22%	—	$22 – $40
2	Humana fee schedule · outpatient · +3 other terms	161	$24	$28	$9	32%	—	$22 – $94
3	Aetna fee schedule · outpatient · +3 other terms	155	$24	$27	$6	24%	—	$22 – $40
4	WellCare fee schedule · outpatient · +2 other terms	131	$24	$32	$8	25%	—	$22 – $41
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$24	$27	$7	25%	—	$21 – $40
6	Devoted fee schedule · outpatient	122	$24	$28	$7	25%	—	$24 – $39
7	Cigna Healthspring fee schedule · outpatient	110	$25	$30	$7	24%	—	$24 – $42
8	Molina fee schedule · outpatient · +2 other terms	69	$35	$40	$17	43%	—	$22 – $85
9	Superior Healthplan fee schedule · outpatient	40	$25	$28	$7	24%	—	$25 – $41
10	Anthem fee schedule · outpatient · +1 other terms	31	$24	$24	$3	11%	—	$22 – $39
11	Oscar fee schedule · outpatient	27	$25	$29	$7	24%	—	$23 – $39
12	Amerihealth Caritas fee schedule · outpatient	17	$28	$31	$6	19%	—	$28 – $44
13	Cigna fee schedule · outpatient · +1 other terms	15	$24	$24	$1	5%	—	$22 – $25
14	Clover fee schedule · outpatient · +1 other terms	15	$41	$34	$8	23%	—	$25 – $41
15	Kaiser fee schedule · outpatient · +1 other terms	15	$24	$24	$0	2%	—	$23 – $24
16	Ambetter case rate · outpatient · +2 other terms	12	$38	$44	$7	17%	—	$38 – $52
17	Medicare case rate · outpatient	8	$21	$21	—	—	—	$21 – $21
18	Optum fee schedule · outpatient	8	$31	$49	$34	69%	—	$21 – $97
19	Highmark case rate · outpatient	5	$21	$21	—	—	—	$21 – $21
20	Tricare facility · fee schedule · outpatient	5	$21	$21	—	—	—	$21 – $21
21	Excellus case rate · outpatient	4	$29	$29	$11	37%	—	$21 – $47
22	Sanford Health Plan case rate · outpatient	3	$31	$31	$3	10%	—	$26 – $35
23	Aetna Better Health facility · case rate · outpatient	1	$16	$16	$5	32%	—	$11 – $21
24	Magellan fee schedule · outpatient	1	$24	$24	—	—	—	$24 – $24
25	Medicaid facility · case rate · outpatient	1	$11	$11	—	—	—	$11 – $11