APC 9484

Injection, eteplirsen, 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

Inj, eteplirsen, 10 mg

Payers reporting APC 9484

Payer pricing summary

Low

$88

Average

$372

Median

$176

High

$3.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	153	$169	$169	$2	1%	—	$167 – $176
2	Humana fee schedule · outpatient · +4 other terms	148	$167	$174	$49	28%	—	$161 – $669
3	Aetna fee schedule · outpatient · +4 other terms	135	$169	$169	$2	1%	—	$166 – $184
4	WellCare fee schedule · outpatient · +2 other terms	127	$172	$174	$6	3%	—	$167 – $221
5	Devoted fee schedule · outpatient · +1 other terms	122	$167	$167	$1	0%	—	$167 – $176
6	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	121	$168	$169	$2	1%	—	$164 – $174
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$174	$170	$5	3%	—	$167 – $181
8	Molina fee schedule · outpatient · +2 other terms	55	$246	$246	$95	39%	—	$171 – $438
9	Superior Healthplan fee schedule · outpatient	40	$176	$176	$0	0%	—	$176 – $176
10	Anthem fee schedule · outpatient · +1 other terms	24	$167	$169	$2	1%	—	$167 – $172
11	Oscar fee schedule · outpatient · +1 other terms	24	$164	$169	$6	3%	—	$164 – $176
12	Amerihealth Caritas fee schedule · outpatient	17	$201	$199	$4	2%	—	$191 – $201
13	Clover fee schedule · outpatient · +2 other terms	15	$176	$176	$0	0%	—	$176 – $176
14	Kaiser fee schedule · outpatient · +1 other terms	13	$171	$170	$1	1%	—	$167 – $171
15	Cigna fee schedule · outpatient · +2 other terms	9	$171	$174	$5	3%	—	$171 – $181
16	Medicare case rate · outpatient · +1 other terms	8	$167	$167	—	—	—	$167 – $167
17	Optum fee schedule · outpatient · +1 other terms	8	$167	$251	$118	47%	—	$167 – $419
18	Ambetter case rate · outpatient · +2 other terms	7	$301	$301	—	—	—	$301 – $301
19	Highmark case rate · outpatient · +1 other terms	5	$167	$226	$80	35%	—	$167 – $367
20	Tricare facility · fee schedule · outpatient	5	$167	$167	—	—	—	$167 – $167
21	Excellus case rate · outpatient	4	$228	$233	$85	37%	—	$167 – $376
22	Bcbs Nj facility · other · outpatient	3	$167	$167	—	—	—	$167 – $167
23	Aetna Better Health facility · case rate · outpatient	1	$129	$129	$42	32%	—	$88 – $171
24	Magellan fee schedule · outpatient	1	$167	$167	—	—	—	$167 – $167
25	Medicaid facility · case rate · outpatient	1	$88	$88	—	—	—	$88 – $88