APC 928

Factor IX complex 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

Factor ix complex

Payers reporting APC 928

Payer pricing summary

Low

Average

Median

High

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	175	$2	$2	$7	311%	—	$2 – $109
2	Humana fee schedule · outpatient · +3 other terms	161	$2	$2	$0	28%	—	$2 – $7
3	Aetna fee schedule · outpatient · +3 other terms	155	$2	$2	$0	11%	—	$2 – $3
4	WellCare fee schedule · outpatient · +2 other terms	131	$2	$2	$0	4%	—	$2 – $2
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$2	$2	$0	1%	—	$2 – $2
6	Devoted fee schedule · outpatient · +2 other terms	122	$2	$2	$0	1%	—	$2 – $2
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$2	$2	$0	3%	—	$2 – $2
8	Molina fee schedule · outpatient · +2 other terms	69	$3	$2	$1	38%	—	$2 – $4
9	Superior Healthplan fee schedule · outpatient	40	$2	$2	$0	1%	—	$2 – $2
10	Anthem fee schedule · outpatient · +1 other terms	31	$2	$2	$0	2%	—	$2 – $2
11	Oscar fee schedule · outpatient · +2 other terms	27	$2	$2	$0	22%	—	$2 – $3
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$2	$2	$0	1%	—	$2 – $2
13	Cigna fee schedule · outpatient · +2 other terms	16	$2	$2	$0	6%	—	$2 – $2
14	Clover fee schedule · outpatient · +3 other terms	15	$2	$2	$0	1%	—	$2 – $2
15	Kaiser fee schedule · outpatient · +2 other terms	15	$2	$2	$0	1%	—	$2 – $2
16	Medicare facility · fee schedule · outpatient · +2 other terms	13	$2	$2	$0	1%	—	$2 – $2
17	Ambetter case rate · outpatient · +2 other terms	12	$3	$3	$0	11%	—	$3 – $4
18	Optum fee schedule · outpatient · +2 other terms	8	$2	$3	$1	47%	—	$2 – $4
19	Medica facility · fee schedule · outpatient	5	$2	$2	—	—	—	$2 – $2
20	Highmark facility · other · outpatient · +2 other terms	4	$3	$3	$1	34%	—	$2 – $4
21	Bcbs Nj facility · other · outpatient	3	$2	$2	—	—	—	$2 – $2
22	Excellus case rate · outpatient	2	$3	$3	$0	13%	—	$3 – $4
23	Magellan facility · fee schedule · outpatient · +1 other terms	2	$2	$2	—	—	—	$2 – $2
24	Sanford Health Plan case rate · outpatient	1	$3	$3	$0	8%	—	$2 – $3