APC 9416

Evinacumab 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, evinacumab-dgnb, 5 m

Payers reporting APC 9416

Payer pricing summary

Low

$101

Average

$1.2k

Median

$207

High

$19.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$199	$199	$3	2%	—	$179 – $207
2	Humana fee schedule · outpatient · +4 other terms	161	$197	$205	$56	28%	—	$179 – $789
3	Aetna fee schedule · outpatient · +4 other terms	155	$199	$202	$22	11%	—	$179 – $326
4	WellCare fee schedule · outpatient · +2 other terms	131	$203	$205	$7	4%	—	$186 – $260
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$198	$199	$7	3%	—	$183 – $274
6	Devoted fee schedule · outpatient · +1 other terms	122	$197	$197	$1	0%	—	$197 – $207
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$205	$201	$5	3%	—	$197 – $213
8	Molina fee schedule · outpatient · +2 other terms	69	$290	$281	$109	39%	—	$186 – $517
9	Superior Healthplan fee schedule · outpatient	40	$207	$207	$0	0%	—	$207 – $208
10	Anthem fee schedule · outpatient · +1 other terms	31	$197	$197	$6	3%	—	$186 – $203
11	Oscar fee schedule · outpatient · +1 other terms	27	$194	$213	$40	19%	—	$193 – $326
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$237	$235	$4	2%	—	$225 – $237
13	Cigna fee schedule · outpatient · +2 other terms	16	$201	$201	$12	6%	—	$186 – $231
14	Clover fee schedule · outpatient · +2 other terms	15	$208	$207	$0	0%	—	$207 – $208
15	Kaiser fee schedule · outpatient · +2 other terms	15	$201	$199	$4	2%	—	$190 – $201
16	Ambetter case rate · outpatient · +2 other terms	12	$349	$382	$39	10%	—	$349 – $428
17	Medicare case rate · outpatient · +2 other terms	8	$194	$194	—	—	—	$194 – $194
18	Optum fee schedule · outpatient · +1 other terms	8	$197	$296	$140	47%	—	$194 – $494
19	Highmark case rate · outpatient · +2 other terms	5	$194	$262	$93	35%	—	$194 – $425
20	Tricare facility · fee schedule · outpatient	5	$194	$194	—	—	—	$194 – $194
21	Excellus case rate · outpatient	4	$265	$270	$99	37%	—	$194 – $435
22	Bcbs Nj facility · other · outpatient	3	$197	$197	—	—	—	$197 – $197
23	Sanford Health Plan case rate · outpatient	3	$275	$277	$28	10%	—	$230 – $317
24	Medica facility · fee schedule · outpatient	2	$207	$207	—	—	—	$207 – $207
25	Aetna Better Health facility · case rate · outpatient	1	$149	$149	$48	32%	—	$101 – $198

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