APC 9142

Fecal microbiota transplant product

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

Fecal?microbiota jslm 1 ml

Payers reporting APC 9142

Payer pricing summary

Low

$33

Average

$79

Median

$68

High

$168

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$65	$65	$1	1%	—	$63 – $68
2	Humana fee schedule · outpatient · +4 other terms	161	$65	$67	$18	27%	—	$63 – $259
3	Aetna fee schedule · outpatient · +5 other terms	155	$65	$67	$8	12%	—	$63 – $111
4	WellCare fee schedule · outpatient · +2 other terms	131	$67	$67	$2	4%	—	$64 – $85
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$66	$65	$3	4%	—	$63 – $95
6	Devoted fee schedule · outpatient · +1 other terms	122	$65	$65	$0	1%	—	$64 – $68
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$67	$66	$2	3%	—	$64 – $71
8	Molina fee schedule · outpatient · +2 other terms	69	$95	$93	$35	38%	—	$64 – $169
9	Superior Healthplan fee schedule · outpatient	40	$68	$68	$0	0%	—	$68 – $69
10	Anthem fee schedule · outpatient · +1 other terms	31	$65	$65	$1	2%	—	$64 – $67
11	Oscar fee schedule · outpatient · +1 other terms	27	$63	$70	$15	21%	—	$63 – $111
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$78	$77	$1	1%	—	$75 – $78
13	Cigna fee schedule · outpatient · +1 other terms	15	$66	$66	$2	3%	—	$64 – $70
14	Clover fee schedule · outpatient · +2 other terms	15	$68	$68	$0	1%	—	$68 – $69
15	Kaiser fee schedule · outpatient · +2 other terms	15	$66	$66	$0	1%	—	$65 – $66
16	Ambetter case rate · outpatient · +2 other terms	12	$115	$128	$15	12%	—	$115 – $145
17	Medicare case rate · outpatient · +1 other terms	8	$64	$64	—	—	—	$64 – $64
18	Optum fee schedule · outpatient · +1 other terms	8	$65	$97	$46	47%	—	$64 – $164
19	Highmark case rate · outpatient · +2 other terms	5	$64	$64	—	—	—	$64 – $64
20	Tricare facility · fee schedule · outpatient	5	$64	$64	—	—	—	$64 – $64
21	Excellus case rate · outpatient	4	$87	$89	$33	37%	—	$64 – $143
22	Sanford Health Plan case rate · outpatient	3	$93	$93	$9	10%	—	$78 – $107
23	Aetna Better Health facility · case rate · outpatient	1	$49	$49	$16	32%	—	$33 – $65
24	Bcbs Nj facility · other · outpatient	1	$65	$65	—	—	—	$65 – $65
25	Magellan fee schedule · outpatient	1	$65	$65	—	—	—	$65 – $65

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