APC 9412

Casimersen injection, 10 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

Injection, casimersen, 10

Payers reporting APC 9412

Payer pricing summary

Low

$87

Average

$183

Median

$173

High

$249

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	153	$168	$168	$2	1%	—	$165 – $175
2	Humana fee schedule · outpatient · +3 other terms	148	$166	$173	$49	28%	—	$160 – $665
3	Aetna fee schedule · outpatient · +3 other terms	135	$168	$168	$2	1%	—	$165 – $183
4	WellCare fee schedule · outpatient · +2 other terms	127	$171	$173	$6	3%	—	$166 – $219
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	122	$166	$168	$7	4%	—	$163 – $249
6	Devoted fee schedule · outpatient	122	$166	$166	$1	0%	—	$166 – $175
7	Cigna Healthspring fee schedule · outpatient	110	$173	$169	$5	3%	—	$166 – $179
8	Molina fee schedule · outpatient · +2 other terms	55	$245	$245	$94	39%	—	$170 – $435
9	Superior Healthplan fee schedule · outpatient	40	$175	$175	$0	0%	—	$174 – $175
10	Anthem fee schedule · outpatient · +1 other terms	24	$166	$168	$2	1%	—	$166 – $171
11	Oscar fee schedule · outpatient	24	$163	$168	$6	3%	—	$163 – $175
12	Amerihealth Caritas fee schedule · outpatient	17	$199	$198	$4	2%	—	$189 – $199
13	Clover fee schedule · outpatient · +1 other terms	15	$175	$175	$0	0%	—	$174 – $175
14	Kaiser fee schedule · outpatient	13	$170	$169	$1	1%	—	$166 – $170
15	Cigna fee schedule · outpatient · +1 other terms	10	$170	$178	$16	9%	—	$170 – $223
16	Medicare case rate · outpatient · +2 other terms	8	$166	$166	—	—	—	$166 – $166
17	Optum fee schedule · outpatient	8	$166	$249	$118	47%	—	$166 – $416
18	Ambetter case rate · outpatient · +2 other terms	7	$299	$299	—	—	—	$299 – $299
19	Highmark case rate · outpatient	5	$166	$225	$80	35%	—	$166 – $364
20	Tricare facility · fee schedule · outpatient	5	$166	$166	—	—	—	$166 – $166
21	Excellus case rate · outpatient	4	$227	$232	$85	37%	—	$166 – $373
22	Aetna Better Health facility · case rate · outpatient	1	$128	$128	$41	32%	—	$87 – $169
23	Magellan fee schedule · outpatient	1	$166	$166	—	—	—	$166 – $166
24	Medicaid facility · case rate · outpatient	1	$87	$87	—	—	—	$87 – $87