APC 9359

Crizanlizumab injection, 5 mg

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 crizanlizumab-tmca 5mg

Payers reporting APC 9359

Payer pricing summary

Low

$68

Average

$201

Median

$137

High

$1.3k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$177	$181	$66	37%	2–20	$129 – $291
2	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$131	$131	$2	1%	—	$127 – $136
3	Humana fee schedule · outpatient · +4 other terms	161	$130	$135	$37	27%	—	$125 – $518
4	Aetna fee schedule · outpatient · +4 other terms	155	$131	$134	$16	12%	—	$127 – $225
5	WellCare fee schedule · outpatient · +2 other terms	131	$133	$135	$5	3%	—	$129 – $171
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$131	$131	$5	4%	—	$127 – $191
7	Devoted fee schedule · outpatient · +1 other terms	122	$130	$130	$0	0%	—	$130 – $136
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$135	$132	$4	3%	—	$130 – $140
9	Molina fee schedule · outpatient · +3 other terms	69	$191	$186	$71	38%	—	$129 – $340
10	Superior Healthplan fee schedule · outpatient	40	$136	$136	$0	0%	—	$136 – $136
11	Anthem fee schedule · outpatient · +2 other terms	31	$130	$131	$2	1%	—	$129 – $133
12	Oscar fee schedule · outpatient · +2 other terms	27	$127	$141	$30	21%	—	$127 – $225
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$156	$154	$3	2%	—	$148 – $156
14	Cigna fee schedule · outpatient · +2 other terms	16	$132	$135	$9	7%	—	$129 – $167
15	Clover fee schedule · outpatient · +2 other terms	15	$136	$136	$0	0%	—	$136 – $136
16	Kaiser fee schedule · outpatient · +2 other terms	15	$132	$132	$1	1%	—	$130 – $132
17	Ambetter case rate · outpatient · +2 other terms	12	$233	$259	$31	12%	—	$233 – $295
18	Medicare facility · fee schedule · outpatient · +2 other terms	10	$130	$130	$0	0%	—	$130 – $130
19	Optum fee schedule · outpatient · +1 other terms	8	$130	$195	$92	47%	—	$129 – $325
20	Highmark case rate · outpatient · +2 other terms	5	$129	$175	$62	35%	—	$129 – $284
21	Tricare facility · fee schedule · outpatient	5	$129	$129	—	—	—	$129 – $129
22	Bcbs Nj facility · other · outpatient	3	$130	$130	—	—	—	$130 – $130
23	Sanford Health Plan case rate · outpatient	3	$188	$189	$19	10%	—	$157 – $216
24	Medica facility · fee schedule · outpatient	2	$136	$136	—	—	—	$136 – $136
25	Aetna Better Health facility · case rate · outpatient	1	$100	$100	$32	32%	—	$68 – $132

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