APC 9199

Caplacizumab 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

Injection, caplacizumab-y

Payers reporting APC 9199

Payer pricing summary

Low

$582

Average

$955

Median

$841

High

$1.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	153	$810	$814	$14	2%	—	$798 – $856
2	Humana fee schedule · outpatient · +3 other terms	148	$802	$844	$234	28%	—	$794 – $3.2k
3	Aetna fee schedule · outpatient · +3 other terms	135	$811	$817	$16	2%	—	$802 – $882
4	WellCare fee schedule · outpatient · +2 other terms	127	$826	$841	$36	4%	—	$802 – $1.1k
5	Devoted fee schedule · outpatient · +1 other terms	122	$802	$805	$10	1%	—	$801 – $842
6	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$834	$827	$24	3%	—	$801 – $906
7	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	106	$818	$818	$33	4%	—	$768 – $1.2k
8	Molina fee schedule · outpatient · +1 other terms	55	$1.2k	$1.2k	$452	38%	—	$818 – $2.1k
9	Superior Healthplan fee schedule · outpatient	40	$842	$844	$8	1%	—	$841 – $881
10	Anthem fee schedule · outpatient	24	$802	$812	$12	2%	—	$802 – $839
11	Oscar fee schedule · outpatient · +2 other terms	24	$786	$809	$28	3%	—	$785 – $842
12	Amerihealth Caritas fee schedule · outpatient	17	$963	$962	$2	0%	—	$957 – $963
13	Clover fee schedule · outpatient · +2 other terms	15	$841	$844	$10	1%	—	$841 – $881
14	Kaiser fee schedule · outpatient	13	$818	$817	$4	1%	—	$802 – $818
15	Cigna fee schedule · outpatient · +2 other terms	10	$818	$848	$45	5%	—	$818 – $966
16	Medicare facility · fee schedule · outpatient · +1 other terms	8	$802	$810	$15	2%	—	$801 – $839
17	Optum fee schedule · outpatient · +2 other terms	8	$821	$1.3k	$594	47%	—	$802 – $2.1k
18	Highmark case rate · outpatient · +1 other terms	5	$802	$1.1k	$384	35%	—	$802 – $1.8k
19	Excellus case rate · outpatient	4	$1.1k	$1.1k	$410	37%	—	$802 – $1.8k
20	Bcbs Nj facility · other · outpatient	2	$802	$802	—	—	—	$802 – $802
21	Medica facility · fee schedule · outpatient	2	$842	$842	—	—	—	$842 – $842
22	Ambetter fee schedule · outpatient	1	$582	$582	$60	10%	—	$521 – $642
23	Magellan fee schedule · outpatient	1	$802	$802	—	—	—	$802 – $802