APC 9454

Long-acting pasireotide 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, pasireotide long act

Payers reporting APC 9454

Payer pricing summary

Low

$300

Average

$988

Median

$602

High

$9.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$581	$583	$20	3%	—	$449 – $629
2	Humana fee schedule · outpatient · +4 other terms	161	$575	$605	$164	27%	—	$449 – $2.3k
3	Aetna fee schedule · outpatient · +3 other terms	155	$581	$595	$64	11%	—	$449 – $934
4	WellCare fee schedule · outpatient · +2 other terms	131	$592	$612	$29	5%	—	$534 – $759
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$587	$588	$19	3%	—	$481 – $721
6	Devoted fee schedule · outpatient · +2 other terms	122	$575	$583	$13	2%	—	$575 – $617
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$598	$600	$19	3%	—	$575 – $666
8	Molina fee schedule · outpatient · +3 other terms	69	$847	$831	$319	38%	—	$534 – $1.5k
9	Superior Healthplan fee schedule · outpatient	40	$604	$610	$12	2%	—	$604 – $648
10	Anthem fee schedule · outpatient · +2 other terms	31	$575	$572	$22	4%	—	$534 – $617
11	Oscar fee schedule · outpatient · +2 other terms	27	$584	$624	$111	18%	—	$564 – $934
12	Amerihealth Caritas fee schedule · outpatient	17	$690	$692	$5	1%	—	$690 – $703
13	Cigna fee schedule · outpatient · +1 other terms	16	$587	$571	$35	6%	—	$507 – $621
14	Clover fee schedule · outpatient · +2 other terms	15	$626	$619	$13	2%	—	$604 – $648
15	Kaiser fee schedule · outpatient · +2 other terms	15	$587	$581	$14	2%	—	$544 – $587
16	Ambetter case rate · outpatient · +3 other terms	12	$1.0k	$1.1k	$34	3%	—	$1.0k – $1.1k
17	Medicare case rate · outpatient · +2 other terms	8	$573	$573	—	—	—	$573 – $573
18	Optum fee schedule · outpatient · +2 other terms	8	$596	$890	$437	49%	—	$573 – $1.5k
19	Highmark case rate · outpatient · +1 other terms	5	$573	$775	$274	35%	—	$573 – $1.3k
20	Tricare facility · fee schedule · outpatient	5	$573	$573	—	—	—	$573 – $573
21	Excellus case rate · outpatient	4	$782	$799	$292	37%	—	$573 – $1.3k
22	Sanford Health Plan case rate · outpatient	3	$817	$823	$83	10%	—	$683 – $941
23	Aetna Better Health facility · case rate · outpatient	1	$442	$442	$142	32%	—	$300 – $584
24	Bcbs Nj facility · other · outpatient	1	$575	$575	—	—	—	$575 – $575
25	Magellan fee schedule · outpatient	1	$575	$575	—	—	—	$575 – $575

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