APC 9497

Loxapine inhalation powder, one dose

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

Loxapine for inhalation 1

Payers reporting APC 9497

Payer pricing summary

Low

Average

$17

Median

$16

High

$23

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +3 other terms	125	$16	$17	$5	32%	—	$16 – $64
2	UnitedHealthcare fee schedule · outpatient · +3 other terms	119	$16	$16	$0	1%	—	$16 – $17
3	Aetna fee schedule · outpatient · +3 other terms	105	$16	$16	$0	2%	—	$16 – $17
4	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	97	$16	$16	$0	1%	—	$16 – $17
5	Devoted fee schedule · outpatient	95	$16	$16	$0	0%	—	$16 – $17
6	WellCare fee schedule · outpatient · +2 other terms	95	$16	$17	$1	5%	—	$16 – $21
7	Cigna Healthspring fee schedule · outpatient	91	$17	$16	$0	3%	—	$16 – $17
8	Molina fee schedule · outpatient · +2 other terms	32	$23	$24	$10	43%	—	$16 – $42
9	Superior Healthplan fee schedule · outpatient	25	$17	$17	—	—	—	$17 – $17
10	Anthem fee schedule · outpatient	23	$16	$16	$0	1%	—	$16 – $16
11	Oscar fee schedule · outpatient	18	$17	$16	$1	3%	—	$16 – $17
12	Amerihealth Caritas fee schedule · outpatient	14	$19	$19	—	—	—	$19 – $19
13	Kaiser fee schedule · outpatient	13	$16	$16	$0	0%	—	$16 – $16
14	Cigna fee schedule · outpatient · +1 other terms	9	$16	$17	$0	3%	—	$16 – $17
15	Medicare case rate · outpatient	8	$16	$16	—	—	—	$16 – $16
16	Ambetter case rate · outpatient · +2 other terms	7	$29	$29	—	—	—	$29 – $29
17	Clover case rate · outpatient · +1 other terms	7	$17	$17	—	—	—	$17 – $17
18	Highmark case rate · outpatient	5	$16	$22	$8	35%	—	$16 – $35
19	Tricare facility · fee schedule · outpatient	5	$16	$16	—	—	—	$16 – $16
20	Excellus case rate · outpatient	4	$22	$22	$8	37%	—	$16 – $36
21	Optum fee schedule · outpatient	4	$16	$16	—	—	—	$16 – $16
22	Aetna Better Health facility · case rate · outpatient	1	$12	$12	$4	32%	—	$8 – $16
23	Magellan fee schedule · outpatient	1	$16	$16	—	—	—	$16 – $16
24	Medicaid facility · case rate · outpatient	1	$8	$8	—	—	—	$8 – $8