APC 9272

Denosumab injection

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, denosumab

Payers reporting APC 9272

Payer pricing summary

Low

$15

Average

$148

Median

$35

High

$735

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$40	$41	$15	37%	569–578	$29 – $66
2	Highmark case rate · outpatient · +2 other terms	5	$29	$40	$14	35%	61–88	$29 – $64
3	UnitedHealthcare fee schedule · outpatient · +6 other terms	174	$30	$30	$1	2%	—	$25 – $31
4	Humana fee schedule · outpatient · +6 other terms	161	$29	$31	$8	27%	—	$25 – $118
5	Aetna fee schedule · outpatient · +6 other terms	155	$30	$30	$3	11%	—	$25 – $48
6	WellCare fee schedule · outpatient · +3 other terms	131	$30	$31	$1	4%	—	$28 – $39
7	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	126	$30	$30	$1	3%	—	$27 – $40
8	Devoted fee schedule · outpatient · +2 other terms	122	$29	$30	$0	1%	—	$29 – $31
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$31	$30	$1	3%	—	$29 – $33
10	Molina fee schedule · outpatient · +4 other terms	69	$43	$42	$16	39%	—	$28 – $77
11	Superior Healthplan fee schedule · outpatient	40	$31	$31	$0	0%	—	$31 – $32
12	Anthem fee schedule · outpatient · +2 other terms	31	$29	$29	$1	3%	—	$28 – $30
13	Oscar fee schedule · outpatient · +2 other terms	27	$29	$32	$6	18%	—	$29 – $48
14	Medicare facility · fee schedule · outpatient · +2 other terms	21	$29	$122	$517	424%	—	$29 – $3.6k
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$35	$35	$0	1%	—	$34 – $35
16	Cigna fee schedule · outpatient · +4 other terms	16	$30	$30	$1	5%	—	$28 – $32
17	Ambetter facility · fee schedule · outpatient · +4 other terms	15	$55	$447	$1.6k	347%	—	$29 – $7.8k
18	Clover fee schedule · outpatient · +3 other terms	15	$31	$31	$0	1%	—	$31 – $32
19	Kaiser fee schedule · outpatient · +2 other terms	15	$30	$30	$1	2%	—	$28 – $30
20	Optum fee schedule · outpatient · +3 other terms	8	$30	$44	$21	47%	—	$29 – $75
21	Medica facility · fee schedule · outpatient	5	$31	$31	$0	0%	—	$31 – $31
22	Tricare facility · fee schedule · outpatient	5	$29	$29	—	—	—	$29 – $29
23	Bcbs Nj facility · other · outpatient	3	$29	$29	—	—	—	$29 – $29
24	Sanford Health Plan case rate · outpatient	3	$42	$43	$4	10%	—	$35 – $49
25	Magellan facility · fee schedule · outpatient · +1 other terms	2	$31	$31	—	—	—	$31 – $31

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