APC 9255

Invega Sustenna injection (paliperidone long-acting)

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, invega sustenna, 1 mg

Payers reporting APC 9255

Payer pricing summary

Low

Average

$96

Median

$16

High

$779

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Caresource other · outpatient	1	$125	$125	—	—	1–10	$125 – $125
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$15	$15	$0	1%	—	$14 – $16
3	Humana fee schedule · outpatient · +5 other terms	161	$15	$16	$4	27%	—	$14 – $60
4	Aetna fee schedule · outpatient · +5 other terms	155	$15	$16	$2	12%	—	$14 – $26
5	WellCare fee schedule · outpatient · +3 other terms	131	$16	$16	$1	4%	—	$15 – $20
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$15	$15	$1	4%	—	$15 – $22
7	Devoted fee schedule · outpatient · +3 other terms	122	$15	$15	$0	1%	—	$15 – $16
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$16	$15	$0	3%	—	$15 – $17
9	Molina fee schedule · outpatient · +4 other terms	69	$22	$22	$8	38%	—	$15 – $40
10	Superior Healthplan fee schedule · outpatient	40	$16	$16	$0	0%	—	$16 – $16
11	Anthem fee schedule · outpatient · +2 other terms	31	$15	$15	$0	2%	—	$15 – $16
12	Oscar fee schedule · outpatient · +2 other terms	27	$15	$16	$3	21%	—	$15 – $26
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$18	$18	$0	1%	—	$18 – $18
14	Cigna fee schedule · outpatient · +2 other terms	17	$15	$17	$5	31%	—	$15 – $37
15	Medicare facility · fee schedule · outpatient · +2 other terms	16	$15	$15	$0	1%	—	$15 – $15
16	Clover fee schedule · outpatient · +3 other terms	15	$16	$16	$0	1%	—	$16 – $16
17	Kaiser fee schedule · outpatient · +2 other terms	15	$15	$15	$0	1%	—	$15 – $15
18	Ambetter case rate · outpatient · +3 other terms	12	$27	$30	$3	11%	—	$27 – $34
19	Optum fee schedule · outpatient · +3 other terms	8	$15	$23	$11	47%	—	$15 – $39
20	Highmark case rate · outpatient · +2 other terms	5	$15	$20	$7	35%	—	$15 – $33
21	Medica facility · fee schedule · outpatient	5	$16	$16	$0	1%	—	$16 – $16
22	Tricare facility · fee schedule · outpatient	5	$15	$15	—	—	—	$15 – $15
23	Excellus case rate · outpatient · +1 other terms	4	$21	$21	$8	37%	—	$15 – $34
24	Bcbs Nj facility · other · outpatient	3	$15	$15	—	—	—	$15 – $15
25	Sanford Health Plan case rate · outpatient	3	$22	$22	$2	10%	—	$18 – $25

Page 1 of 2 · 30 payers