APC 9158

Injection, pegcetacoplan, per milligram

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, pegcetacoplan, 1mg

Payers reporting APC 9158

Payer pricing summary

Low

$73

Average

$157

Median

$147

High

$246

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$139	$142	$5	4%	—	$137 – $154
2	Humana fee schedule · outpatient · +3 other terms	161	$138	$147	$39	27%	—	$137 – $552
3	Aetna fee schedule · outpatient · +3 other terms	155	$142	$146	$20	14%	—	$138 – $256
4	WellCare fee schedule · outpatient · +2 other terms	131	$142	$149	$7	5%	—	$138 – $182
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$141	$143	$8	6%	—	$135 – $224
6	Devoted fee schedule · outpatient	122	$138	$141	$5	3%	—	$138 – $149
7	Cigna Healthspring fee schedule · outpatient	110	$148	$145	$5	3%	—	$138 – $161
8	Molina fee schedule · outpatient · +2 other terms	69	$203	$203	$76	37%	—	$141 – $362
9	Superior Healthplan fee schedule · outpatient	40	$145	$147	$4	3%	—	$145 – $156
10	Anthem fee schedule · outpatient · +1 other terms	31	$142	$141	$4	3%	—	$138 – $149
11	Oscar fee schedule · outpatient	27	$145	$154	$36	23%	—	$135 – $256
12	Amerihealth Caritas fee schedule · outpatient	17	$166	$166	$2	1%	—	$166 – $170
13	Cigna fee schedule · outpatient · +1 other terms	15	$146	$145	$4	3%	—	$141 – $152
14	Clover fee schedule · outpatient · +1 other terms	15	$155	$151	$5	3%	—	$145 – $156
15	Kaiser fee schedule · outpatient · +1 other terms	15	$141	$142	$3	2%	—	$138 – $149
16	Ambetter case rate · outpatient · +2 other terms	12	$251	$287	$43	15%	—	$251 – $338
17	Medicare case rate · outpatient	8	$139	$139	—	—	—	$139 – $139
18	Optum fee schedule · outpatient	8	$144	$217	$109	50%	—	$138 – $372
19	Highmark case rate · outpatient	5	$139	$139	—	—	—	$139 – $139
20	Tricare facility · fee schedule · outpatient	5	$139	$139	—	—	—	$139 – $139
21	Excellus case rate · outpatient	4	$190	$194	$71	37%	—	$139 – $312
22	Sanford Health Plan case rate · outpatient	3	$206	$207	$21	10%	—	$172 – $237
23	Aetna Better Health facility · case rate · outpatient	1	$107	$107	$35	32%	—	$73 – $142
24	Magellan fee schedule · outpatient	1	$138	$138	—	—	—	$138 – $138
25	Medicaid facility · case rate · outpatient	1	$73	$73	—	—	—	$73 – $73