APC 9345

Pegfilgrastim-bmez 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 pegfilgrastim-bmez 0.5mg

Payers reporting APC 9345

Payer pricing summary

Low

$16

Average

$199

Median

$125

High

$1.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$120	$115	$30	26%	—	$25 – $347
2	Humana fee schedule · outpatient · +4 other terms	161	$119	$123	$42	34%	—	$25 – $477
3	Aetna fee schedule · outpatient · +4 other terms	155	$120	$112	$35	31%	—	$25 – $347
4	WellCare fee schedule · outpatient · +2 other terms	131	$123	$125	$14	11%	—	$25 – $157
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$122	$113	$50	45%	—	$25 – $520
6	Devoted fee schedule · outpatient · +1 other terms	122	$119	$120	$3	3%	—	$119 – $132
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$124	$125	$6	5%	—	$119 – $143
8	Molina fee schedule · outpatient · +3 other terms	69	$176	$161	$79	49%	—	$25 – $313
9	Superior Healthplan fee schedule · outpatient	40	$125	$126	$3	2%	—	$125 – $139
10	Anthem fee schedule · outpatient · +1 other terms	31	$119	$101	$39	39%	—	$25 – $132
11	Oscar fee schedule · outpatient · +2 other terms	27	$117	$112	$25	22%	—	$43 – $125
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$143	$144	$3	2%	—	$143 – $151
13	Cigna fee schedule · outpatient · +2 other terms	16	$122	$91	$53	58%	—	$25 – $182
14	Clover fee schedule · outpatient · +2 other terms	15	$126	$126	$3	3%	—	$125 – $139
15	Kaiser fee schedule · outpatient · +2 other terms	15	$122	$109	$32	29%	—	$25 – $122
16	Medicare facility · fee schedule · outpatient · +2 other terms	13	$119	$121	$5	4%	—	$119 – $132
17	Ambetter case rate · outpatient · +3 other terms	12	$55	$363	$365	101%	—	$55 – $796
18	Optum fee schedule · outpatient · +1 other terms	8	$126	$174	$100	57%	—	$30 – $330
19	Highmark case rate · outpatient · +2 other terms	5	$30	$41	$15	35%	—	$30 – $67
20	Medica facility · fee schedule · outpatient	5	$124	$125	$1	0%	—	$124 – $125
21	Tricare facility · fee schedule · outpatient	5	$30	$30	—	—	—	$30 – $30
22	Excellus case rate · outpatient	4	$41	$42	$15	37%	—	$30 – $68
23	Bcbs Nj facility · other · outpatient	3	$119	$119	—	—	—	$119 – $119
24	Sanford Health Plan case rate · outpatient	3	$41	$41	$4	10%	—	$34 – $47
25	Aetna Better Health facility · case rate · outpatient	1	$23	$23	$8	32%	—	$16 – $31

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