APC 9256

Dexamethasone intraocular implant

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

Dexamethasone intra implant

Payers reporting APC 9256

Payer pricing summary

Low

$107

Average

$258

Median

$217

High

$824

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$279	$285	$104	37%	24	$205 – $459
2	Highmark case rate · outpatient · +1 other terms	5	$205	$277	$98	35%	1–10	$205 – $449
3	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$207	$207	$2	1%	—	$204 – $216
4	Humana fee schedule · outpatient · +5 other terms	161	$205	$213	$58	27%	—	$196 – $818
5	Aetna fee schedule · outpatient · +5 other terms	155	$207	$212	$26	12%	—	$202 – $360
6	WellCare fee schedule · outpatient · +2 other terms	131	$211	$212	$7	3%	—	$205 – $270
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$208	$207	$9	4%	—	$200 – $308
8	Devoted fee schedule · outpatient · +1 other terms	122	$205	$204	$1	0%	—	$204 – $215
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$213	$208	$6	3%	—	$204 – $220
10	Molina fee schedule · outpatient · +3 other terms	69	$301	$293	$112	38%	—	$206 – $536
11	Superior Healthplan fee schedule · outpatient	40	$215	$215	$0	0%	—	$214 – $215
12	Anthem fee schedule · outpatient · +1 other terms	31	$206	$206	$3	1%	—	$204 – $211
13	Oscar fee schedule · outpatient · +2 other terms	27	$200	$223	$49	22%	—	$200 – $360
14	Amerihealth Caritas fee schedule · outpatient	17	$245	$243	$5	2%	—	$232 – $245
15	Cigna fee schedule · outpatient · +2 other terms	16	$209	$215	$15	7%	—	$206 – $269
16	Clover fee schedule · outpatient · +2 other terms	15	$214	$214	$0	0%	—	$214 – $215
17	Kaiser fee schedule · outpatient · +2 other terms	15	$209	$209	$1	1%	—	$205 – $210
18	Ambetter case rate · outpatient · +2 other terms	12	$368	$411	$51	12%	—	$368 – $472
19	Medicare case rate · outpatient · +2 other terms	8	$205	$205	—	—	—	$205 – $205
20	Optum fee schedule · outpatient · +1 other terms	8	$205	$306	$144	47%	—	$204 – $509
21	Tricare facility · fee schedule · outpatient	5	$205	$205	—	—	—	$205 – $205
22	Bcbs Nj facility · other · outpatient	3	$205	$205	—	—	—	$205 – $205
23	Sanford Health Plan case rate · outpatient	3	$297	$299	$30	10%	—	$249 – $343
24	Medica facility · fee schedule · outpatient	2	$215	$215	—	—	—	$215 – $215
25	Aetna Better Health facility · case rate · outpatient	1	$158	$158	$51	32%	—	$107 – $209

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