APC 9436

Pegfilgrastim biosimilar 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 pegfilgrast ex bio 0.5mg

Payers reporting APC 9436

Payer pricing summary

Low

$47

Average

$230

Median

$131

High

$1.6k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$122	$125	$46	37%	1,092	$89 – $201
2	Highmark case rate · outpatient · +2 other terms	5	$89	$121	$43	35%	15–42	$89 – $196
3	Caresource other · outpatient	1	$1.6k	$1.6k	—	—	1–10	$1.6k – $1.6k
4	UnitedHealthcare fee schedule · outpatient · +6 other terms	174	$124	$118	$29	25%	—	$20 – $146
5	Humana fee schedule · outpatient · +6 other terms	161	$123	$127	$42	33%	—	$20 – $491
6	Aetna fee schedule · outpatient · +5 other terms	155	$124	$114	$35	31%	—	$20 – $146
7	WellCare fee schedule · outpatient · +3 other terms	131	$127	$132	$16	12%	—	$20 – $162
8	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$125	$120	$20	17%	—	$20 – $148
9	Devoted fee schedule · outpatient · +2 other terms	122	$123	$125	$5	4%	—	$123 – $143
10	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$128	$131	$8	6%	—	$123 – $155
11	Molina fee schedule · outpatient · +4 other terms	69	$181	$167	$83	49%	—	$20 – $322
12	Superior Healthplan fee schedule · outpatient	40	$129	$131	$5	4%	—	$129 – $150
13	Anthem fee schedule · outpatient · +2 other terms	31	$123	$103	$43	42%	—	$20 – $143
14	Oscar fee schedule · outpatient · +2 other terms	27	$125	$115	$29	25%	—	$35 – $129
15	Medicare facility · fee schedule · outpatient · +1 other terms	19	$123	$206	$331	161%	—	$121 – $1.7k
16	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$147	$150	$6	4%	—	$147 – $163
17	Cigna fee schedule · outpatient · +4 other terms	15	$125	$85	$53	62%	—	$20 – $133
18	Clover fee schedule · outpatient · +3 other terms	15	$134	$133	$5	4%	—	$129 – $150
19	Kaiser fee schedule · outpatient · +2 other terms	15	$125	$112	$35	31%	—	$20 – $125
20	Ambetter case rate · outpatient · +3 other terms	12	$161	$124	$44	36%	—	$71 – $161
21	Optum fee schedule · outpatient · +3 other terms	8	$133	$191	$101	53%	—	$89 – $358
22	Medica facility · fee schedule · outpatient	5	$126	$126	$1	0%	—	$126 – $127
23	Tricare facility · fee schedule · outpatient	5	$89	$89	—	—	—	$89 – $89
24	Bcbs Nj facility · other · outpatient	3	$123	$123	—	—	—	$123 – $123
25	Sanford Health Plan case rate · outpatient	3	$85	$85	$9	10%	—	$71 – $97

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