APC 9118

Fylnetra injection, 0.5 mg

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

Inj, fylnetra, 0.5 mg

Payers reporting APC 9118

Payer pricing summary

Low

$72

Average

$218

Median

$145

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$129	$131	$19	14%	—	$105 – $202
2	Humana fee schedule · outpatient · +5 other terms	161	$127	$130	$40	31%	—	$101 – $509
3	Aetna fee schedule · outpatient · +4 other terms	155	$128	$136	$38	28%	—	$104 – $321
4	WellCare fee schedule · outpatient · +2 other terms	131	$131	$124	$13	10%	—	$107 – $193
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$130	$128	$19	15%	—	$105 – $291
6	Devoted fee schedule · outpatient · +1 other terms	122	$127	$122	$8	6%	—	$105 – $134
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$130	$121	$12	10%	—	$105 – $136
8	Molina fee schedule · outpatient · +3 other terms	69	$187	$182	$71	39%	—	$115 – $333
9	Superior Healthplan fee schedule · outpatient	40	$134	$130	$7	6%	—	$110 – $134
10	Anthem fee schedule · outpatient · +1 other terms	31	$130	$140	$23	17%	—	$105 – $187
11	Oscar fee schedule · outpatient · +2 other terms	27	$125	$147	$62	43%	—	$110 – $321
12	Amerihealth Caritas fee schedule · outpatient	17	$153	$147	$13	9%	—	$120 – $153
13	Cigna fee schedule · outpatient · +2 other terms	15	$137	$154	$27	17%	—	$130 – $191
14	Clover fee schedule · outpatient · +2 other terms	15	$118	$124	$8	7%	—	$110 – $134
15	Kaiser fee schedule · outpatient · +2 other terms	15	$130	$137	$19	14%	—	$127 – $187
16	Ambetter case rate · outpatient · +3 other terms	12	$248	$323	$88	27%	—	$248 – $427
17	Medicare case rate · outpatient · +1 other terms	8	$138	$138	—	—	—	$138 – $138
18	Optum fee schedule · outpatient · +1 other terms	8	$130	$175	$71	41%	—	$105 – $280
19	Highmark case rate · outpatient · +1 other terms	5	$138	$138	—	—	—	$138 – $138
20	Tricare facility · fee schedule · outpatient	5	$138	$138	—	—	—	$138 – $138
21	Excellus case rate · outpatient	4	$188	$192	$70	37%	—	$138 – $310
22	Bcbs Nj facility · other · outpatient	3	$127	$127	—	—	—	$127 – $127
23	Sanford Health Plan case rate · outpatient	3	$216	$218	$22	10%	—	$181 – $249
24	Aetna Better Health facility · case rate · outpatient	1	$106	$106	$34	32%	—	$72 – $141
25	Magellan fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127

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