APC 9478

Sebelipase alfa injection, per milligram

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 sebelipase alfa 1 mg

Payers reporting APC 9478

Payer pricing summary

Low

$282

Average

$832

Median

$565

High

$5.0k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$545	$546	$6	1%	—	$537 – $567
2	Humana fee schedule · outpatient · +4 other terms	161	$540	$562	$154	27%	—	$518 – $2.2k
3	Aetna fee schedule · outpatient · +4 other terms	155	$545	$558	$68	12%	—	$534 – $944
4	WellCare fee schedule · outpatient · +2 other terms	131	$556	$561	$19	3%	—	$540 – $713
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$550	$547	$22	4%	—	$529 – $808
6	Devoted fee schedule · outpatient · +2 other terms	122	$540	$540	$2	0%	—	$540 – $567
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$562	$550	$15	3%	—	$540 – $583
8	Molina fee schedule · outpatient · +2 other terms	69	$795	$774	$297	38%	—	$540 – $1.4k
9	Superior Healthplan fee schedule · outpatient	40	$567	$567	$0	0%	—	$567 – $567
10	Anthem fee schedule · outpatient · +2 other terms	31	$540	$545	$7	1%	—	$540 – $556
11	Oscar fee schedule · outpatient · +1 other terms	27	$529	$589	$127	21%	—	$529 – $944
12	Amerihealth Caritas fee schedule · outpatient	17	$648	$642	$13	2%	—	$615 – $648
13	Cigna fee schedule · outpatient · +2 other terms	16	$551	$566	$44	8%	—	$540 – $725
14	Clover fee schedule · outpatient · +2 other terms	15	$567	$567	$0	0%	—	$567 – $567
15	Kaiser fee schedule · outpatient · +2 other terms	15	$551	$550	$3	0%	—	$540 – $551
16	Ambetter case rate · outpatient · +2 other terms	12	$972	$1.1k	$131	12%	—	$972 – $1.2k
17	Medicare case rate · outpatient · +2 other terms	8	$540	$540	—	—	—	$540 – $540
18	Optum fee schedule · outpatient · +2 other terms	8	$540	$810	$382	47%	—	$540 – $1.4k
19	Highmark case rate · outpatient · +1 other terms	5	$540	$730	$259	35%	—	$540 – $1.2k
20	Tricare facility · fee schedule · outpatient	5	$540	$540	—	—	—	$540 – $540
21	Excellus case rate · outpatient	4	$737	$753	$276	37%	—	$540 – $1.2k
22	Bcbs Nj facility · other · outpatient	3	$540	$540	—	—	—	$540 – $540
23	Sanford Health Plan case rate · outpatient	3	$782	$787	$80	10%	—	$654 – $901
24	Aetna Better Health facility · case rate · outpatient	1	$417	$417	$134	32%	—	$282 – $551
25	Magellan fee schedule · outpatient	1	$540	$540	—	—	—	$540 – $540

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