APC 9271

Velaglucerase alfa infusion

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

Velaglucerase alfa

Payers reporting APC 9271

Payer pricing summary

Low

$199

Average

$3.3k

Median

$409

High

$73.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$390	$390	$6	1%	—	$367 – $406
2	Humana fee schedule · outpatient · +5 other terms	161	$386	$403	$110	27%	—	$367 – $1.5k
3	Aetna fee schedule · outpatient · +4 other terms	155	$390	$399	$45	11%	—	$367 – $655
4	WellCare fee schedule · outpatient · +2 other terms	131	$398	$403	$15	4%	—	$374 – $510
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$393	$391	$14	4%	—	$369 – $554
6	Devoted fee schedule · outpatient · +1 other terms	122	$386	$387	$2	1%	—	$386 – $406
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$402	$395	$10	3%	—	$386 – $424
8	Molina fee schedule · outpatient · +3 other terms	69	$569	$554	$213	38%	—	$374 – $1.0k
9	Superior Healthplan fee schedule · outpatient	40	$406	$406	$2	0%	—	$406 – $412
10	Anthem fee schedule · outpatient · +1 other terms	31	$386	$387	$8	2%	—	$374 – $398
11	Oscar fee schedule · outpatient · +2 other terms	27	$380	$420	$84	20%	—	$379 – $655
12	Amerihealth Caritas fee schedule · outpatient	17	$464	$461	$6	1%	—	$448 – $464
13	Cigna fee schedule · outpatient · +2 other terms	16	$394	$398	$26	6%	—	$374 – $482
14	Clover fee schedule · outpatient · +2 other terms	15	$408	$407	$2	0%	—	$406 – $412
15	Kaiser fee schedule · outpatient · +2 other terms	15	$394	$392	$4	1%	—	$382 – $394
16	Ambetter case rate · outpatient · +2 other terms	12	$686	$754	$80	11%	—	$686 – $850
17	Medicare case rate · outpatient · +2 other terms	8	$381	$381	—	—	—	$381 – $381
18	Optum fee schedule · outpatient · +1 other terms	8	$390	$583	$277	48%	—	$381 – $982
19	Highmark case rate · outpatient · +1 other terms	5	$381	$516	$183	35%	—	$381 – $836
20	Tricare facility · fee schedule · outpatient	5	$381	$381	—	—	—	$381 – $381
21	Excellus case rate · outpatient	4	$521	$532	$195	37%	—	$381 – $856
22	Bcbs Nj facility · other · outpatient	3	$386	$386	—	—	—	$386 – $386
23	Sanford Health Plan case rate · outpatient	3	$551	$555	$56	10%	—	$460 – $635
24	Aetna Better Health facility · case rate · outpatient	1	$294	$294	$95	32%	—	$199 – $389
25	Magellan fee schedule · outpatient	1	$386	$386	—	—	—	$386 – $386

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