APC 9206

Plasminogen injection, 1 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-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 plasminogen tvmh 1mg

Payers reporting APC 9206

Payer pricing summary

Low

$17

Average

$39

Median

$37

High

$56

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$35	$35	$2	5%	—	$32 – $39
2	Humana fee schedule · outpatient · +3 other terms	161	$35	$37	$10	27%	—	$32 – $139
3	Aetna fee schedule · outpatient · +3 other terms	155	$35	$36	$4	11%	—	$32 – $57
4	WellCare fee schedule · outpatient · +2 other terms	131	$36	$38	$2	6%	—	$33 – $46
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$35	$36	$2	6%	—	$33 – $52
6	Devoted fee schedule · outpatient	122	$35	$36	$2	5%	—	$35 – $38
7	Cigna Healthspring fee schedule · outpatient	110	$37	$37	$2	5%	—	$35 – $41
8	Molina fee schedule · outpatient · +2 other terms	69	$51	$51	$20	38%	—	$33 – $91
9	Superior Healthplan fee schedule · outpatient	40	$36	$37	$2	4%	—	$36 – $40
10	Anthem fee schedule · outpatient · +1 other terms	31	$35	$35	$1	4%	—	$33 – $38
11	Oscar fee schedule · outpatient	27	$36	$38	$7	18%	—	$34 – $57
12	Amerihealth Caritas fee schedule · outpatient	17	$42	$42	$1	2%	—	$42 – $44
13	Cigna fee schedule · outpatient · +1 other terms	15	$35	$35	$2	5%	—	$33 – $37
14	Clover fee schedule · outpatient · +1 other terms	15	$40	$39	$2	5%	—	$36 – $40
15	Kaiser fee schedule · outpatient · +1 other terms	15	$35	$35	$1	2%	—	$33 – $35
16	Ambetter case rate · outpatient · +2 other terms	12	$59	$66	$8	12%	—	$59 – $75
17	Medicare case rate · outpatient	8	$33	$33	—	—	—	$33 – $33
18	Optum fee schedule · outpatient	8	$37	$55	$29	52%	—	$33 – $96
19	Highmark case rate · outpatient	5	$33	$44	$16	35%	—	$33 – $72
20	Tricare facility · fee schedule · outpatient	5	$33	$33	—	—	—	$33 – $33
21	Excellus case rate · outpatient	4	$45	$46	$17	37%	—	$33 – $74
22	Sanford Health Plan case rate · outpatient	3	$47	$47	$5	10%	—	$39 – $54
23	Aetna Better Health facility · case rate · outpatient	1	$25	$25	$8	32%	—	$17 – $33
24	Magellan fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
25	Medicaid facility · case rate · outpatient	1	$17	$17	—	—	—	$17 – $17