APC 9173

Pegfilgrastim injection (Fulphila)

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

Injection, fulphila

Payers reporting APC 9173

Payer pricing summary

Low

$52

Average

$169

Median

$106

High

$988

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$135	$138	$51	37%	64	$99 – $223
2	UnitedHealthcare fee schedule · outpatient · +6 other terms	174	$100	$98	$13	13%	—	$67 – $132
3	Humana fee schedule · outpatient · +5 other terms	161	$99	$97	$32	34%	—	$64 – $395
4	Aetna fee schedule · outpatient · +5 other terms	155	$100	$101	$25	25%	—	$66 – $219
5	WellCare fee schedule · outpatient · +2 other terms	131	$102	$91	$14	16%	—	$68 – $132
6	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	126	$99	$95	$17	18%	—	$67 – $222
7	Devoted fee schedule · outpatient · +2 other terms	122	$99	$92	$11	11%	—	$67 – $104
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$101	$89	$15	17%	—	$67 – $106
9	Molina fee schedule · outpatient · +4 other terms	69	$146	$135	$57	42%	—	$73 – $259
10	Superior Healthplan fee schedule · outpatient	40	$104	$99	$10	10%	—	$70 – $104
11	Anthem fee schedule · outpatient · +2 other terms	31	$101	$104	$12	12%	—	$67 – $128
12	Oscar fee schedule · outpatient · +2 other terms	27	$97	$109	$40	37%	—	$78 – $219
13	Medicare facility · fee schedule · outpatient · +2 other terms	18	$99	$119	$150	127%	—	$56 – $804
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$119	$111	$16	14%	—	$76 – $119
15	Cigna fee schedule · outpatient · +3 other terms	16	$107	$117	$22	19%	—	$101 – $190
16	Clover fee schedule · outpatient · +2 other terms	15	$83	$91	$11	12%	—	$70 – $104
17	Kaiser fee schedule · outpatient · +2 other terms	15	$101	$104	$9	9%	—	$99 – $128
18	Ambetter case rate · outpatient · +3 other terms	12	$178	$234	$65	28%	—	$178 – $311
19	Optum fee schedule · outpatient · +2 other terms	8	$99	$125	$46	37%	—	$67 – $199
20	Highmark case rate · outpatient · +2 other terms	5	$99	$134	$47	35%	—	$99 – $217
21	Medica facility · fee schedule · outpatient	5	$103	$103	$0	0%	—	$103 – $104
22	Tricare facility · fee schedule · outpatient	5	$99	$99	—	—	—	$99 – $99
23	Bcbs Nj facility · other · outpatient	3	$99	$99	—	—	—	$99 – $99
24	Sanford Health Plan case rate · outpatient	3	$150	$151	$15	10%	—	$126 – $173
25	Aetna Better Health facility · case rate · outpatient	1	$76	$76	$25	32%	—	$52 – $101

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