APC 9269

C1 esterase inhibitor injection (Berinert)

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

C-1 esterase, berinert

Payers reporting APC 9269

Payer pricing summary

Low

$40

Average

$170

Median

$80

High

$1.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$77	$77	$2	2%	—	$64 – $81
2	Humana fee schedule · outpatient · +5 other terms	161	$76	$79	$22	27%	—	$64 – $303
3	Aetna fee schedule · outpatient · +4 other terms	155	$77	$78	$9	11%	—	$64 – $127
4	WellCare fee schedule · outpatient · +2 other terms	131	$78	$80	$3	4%	—	$72 – $100
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$77	$77	$2	3%	—	$68 – $102
6	Devoted fee schedule · outpatient · +1 other terms	122	$76	$76	$1	1%	—	$76 – $80
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$79	$78	$2	3%	—	$76 – $86
8	Molina fee schedule · outpatient · +3 other terms	69	$112	$109	$42	38%	—	$72 – $199
9	Superior Healthplan fee schedule · outpatient	40	$80	$80	$1	1%	—	$80 – $83
10	Anthem fee schedule · outpatient · +2 other terms	31	$76	$76	$2	3%	—	$72 – $79
11	Oscar fee schedule · outpatient · +2 other terms	27	$75	$82	$16	19%	—	$74 – $127
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$91	$91	$0	0%	—	$90 – $91
13	Cigna fee schedule · outpatient · +2 other terms	16	$77	$77	$3	4%	—	$72 – $82
14	Clover fee schedule · outpatient · +3 other terms	15	$80	$80	$1	1%	—	$80 – $83
15	Kaiser fee schedule · outpatient · +2 other terms	15	$77	$77	$1	2%	—	$74 – $77
16	Ambetter case rate · outpatient · +3 other terms	12	$137	$145	$10	7%	—	$137 – $157
17	Medicare facility · fee schedule · outpatient · +2 other terms	12	$76	$77	$2	2%	—	$76 – $79
18	Optum fee schedule · outpatient · +2 other terms	8	$78	$115	$55	48%	—	$76 – $198
19	Highmark case rate · outpatient · +2 other terms	5	$76	$103	$36	35%	—	$76 – $166
20	Tricare facility · fee schedule · outpatient	5	$76	$76	—	—	—	$76 – $76
21	Excellus case rate · outpatient	4	$104	$106	$39	37%	—	$76 – $170
22	Bcbs Nj facility · other · outpatient	3	$76	$76	—	—	—	$76 – $76
23	Sanford Health Plan case rate · outpatient	3	$110	$111	$11	10%	—	$92 – $127
24	Magellan facility · fee schedule · outpatient · +1 other terms	2	$80	$80	—	—	—	$80 – $80
25	Medica facility · fee schedule · outpatient	2	$80	$80	—	—	—	$80 – $80

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