APC 9347

Luspatercept 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 luspatercept-aamt 0.25mg

Payers reporting APC 9347

Payer pricing summary

Low

$11

Average

$446

Median

$48

High

$5.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$43	$43	$1	1%	—	$40 – $45
2	Humana fee schedule · outpatient · +4 other terms	161	$43	$45	$12	27%	—	$40 – $171
3	Aetna fee schedule · outpatient · +4 other terms	155	$43	$44	$5	11%	—	$40 – $72
4	WellCare fee schedule · outpatient · +2 other terms	131	$44	$45	$2	4%	—	$41 – $56
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$44	$43	$2	4%	—	$41 – $61
6	Devoted fee schedule · outpatient · +2 other terms	122	$43	$43	$0	1%	—	$43 – $45
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$44	$44	$1	3%	—	$43 – $47
8	Molina fee schedule · outpatient · +3 other terms	69	$63	$61	$24	38%	—	$41 – $112
9	Superior Healthplan fee schedule · outpatient	40	$45	$45	$0	0%	—	$45 – $46
10	Anthem fee schedule · outpatient · +1 other terms	31	$43	$43	$1	2%	—	$41 – $44
11	Oscar fee schedule · outpatient · +2 other terms	27	$42	$46	$9	20%	—	$42 – $72
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$51	$51	$1	1%	—	$50 – $51
13	Medicare facility · fee schedule · outpatient · +2 other terms	17	$43	$487	$2.1k	441%	—	$43 – $13.1k
14	Cigna fee schedule · outpatient · +3 other terms	16	$44	$44	$2	6%	—	$41 – $51
15	Clover fee schedule · outpatient · +2 other terms	15	$45	$45	$0	0%	—	$45 – $46
16	Kaiser fee schedule · outpatient · +2 other terms	15	$44	$43	$1	1%	—	$42 – $44
17	Ambetter case rate · outpatient · +3 other terms	12	$76	$83	$9	10%	—	$76 – $93
18	Optum fee schedule · outpatient · +1 other terms	8	$43	$64	$31	47%	—	$42 – $109
19	Highmark case rate · outpatient · +2 other terms	5	$42	$57	$20	35%	—	$42 – $92
20	Medica facility · fee schedule · outpatient	5	$44	$45	$0	0%	—	$44 – $45
21	Tricare facility · fee schedule · outpatient	5	$42	$42	—	—	—	$42 – $42
22	Excellus case rate · outpatient	4	$57	$59	$21	37%	—	$42 – $94
23	Bcbs Nj facility · other · outpatient	3	$43	$43	—	—	—	$43 – $43
24	Sanford Health Plan case rate · outpatient	3	$61	$61	$6	10%	—	$51 – $70
25	Aetna Better Health facility · case rate · outpatient	1	$32	$32	$10	32%	—	$22 – $43

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