APC 9407

Lumasiran injection, 0.5 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. lumasiran, 0.5 mg

Payers reporting APC 9407

Payer pricing summary

Low

$172

Average

$372

Median

$347

High

$557

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$331	$332	$5	1%	—	$318 – $344
2	Humana fee schedule · outpatient · +3 other terms	161	$328	$343	$93	27%	—	$318 – $1.3k
3	Aetna fee schedule · outpatient · +3 other terms	155	$331	$339	$39	11%	—	$318 – $557
4	WellCare fee schedule · outpatient · +2 other terms	131	$338	$342	$13	4%	—	$318 – $433
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$335	$333	$13	4%	—	$318 – $478
6	Devoted fee schedule · outpatient	122	$328	$329	$3	1%	—	$328 – $344
7	Cigna Healthspring fee schedule · outpatient	110	$341	$336	$9	3%	—	$328 – $364
8	Molina fee schedule · outpatient · +2 other terms	69	$483	$470	$180	38%	—	$318 – $859
9	Superior Healthplan fee schedule · outpatient	40	$344	$345	$2	1%	—	$344 – $354
10	Anthem fee schedule · outpatient · +1 other terms	31	$328	$329	$7	2%	—	$318 – $338
11	Oscar fee schedule · outpatient	27	$321	$356	$72	20%	—	$321 – $557
12	Amerihealth Caritas fee schedule · outpatient	17	$394	$392	$4	1%	—	$384 – $394
13	Cigna fee schedule · outpatient · +1 other terms	16	$335	$339	$24	7%	—	$318 – $418
14	Clover fee schedule · outpatient · +1 other terms	15	$344	$345	$2	1%	—	$344 – $354
15	Kaiser fee schedule · outpatient · +1 other terms	15	$335	$333	$4	1%	—	$324 – $335
16	Ambetter case rate · outpatient · +2 other terms	12	$592	$649	$68	10%	—	$592 – $730
17	Medicare case rate · outpatient · +1 other terms	8	$329	$329	—	—	—	$329 – $329
18	Optum fee schedule · outpatient	8	$333	$495	$235	47%	—	$328 – $842
19	Highmark case rate · outpatient	5	$329	$445	$158	35%	—	$329 – $722
20	Tricare facility · fee schedule · outpatient	5	$329	$329	—	—	—	$329 – $329
21	Excellus case rate · outpatient	4	$449	$459	$168	37%	—	$329 – $739
22	Sanford Health Plan case rate · outpatient	3	$477	$480	$49	10%	—	$399 – $549
23	Aetna Better Health facility · case rate · outpatient	1	$254	$254	$82	32%	—	$172 – $336
24	Magellan fee schedule · outpatient	1	$328	$328	—	—	—	$328 – $328
25	Medicaid facility · case rate · outpatient	1	$172	$172	—	—	—	$172 – $172