APC 9503

Fresh frozen plasma donor retesting

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

Fr frz plasma donor retes

Payers reporting APC 9503

Payer pricing summary

Low

$26

Average

$60

Median

$55

High

$92

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$54	$54	$1	2%	—	$49 – $58
2	Humana fee schedule · outpatient · +4 other terms	161	$53	$55	$15	28%	—	$49 – $213
3	Aetna fee schedule · outpatient · +4 other terms	155	$54	$54	$6	10%	—	$49 – $86
4	WellCare fee schedule · outpatient · +2 other terms	131	$55	$55	$2	4%	—	$49 – $70
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$53	$54	$12	22%	—	$49 – $178
6	Devoted fee schedule · outpatient · +2 other terms	122	$53	$53	$0	0%	—	$53 – $56
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$55	$54	$2	3%	—	$53 – $58
8	Molina fee schedule · outpatient · +2 other terms	69	$78	$76	$30	39%	—	$49 – $140
9	Superior Healthplan fee schedule · outpatient	40	$56	$56	—	—	—	$56 – $56
10	Anthem fee schedule · outpatient · +1 other terms	31	$53	$53	$2	4%	—	$49 – $55
11	Oscar fee schedule · outpatient · +1 other terms	27	$52	$57	$10	18%	—	$52 – $86
12	Amerihealth Caritas fee schedule · outpatient	17	$64	$63	$1	2%	—	$61 – $64
13	Cigna fee schedule · outpatient · +1 other terms	15	$54	$53	$3	6%	—	$49 – $58
14	Clover fee schedule · outpatient · +2 other terms	15	$56	$56	—	—	—	$56 – $56
15	Kaiser fee schedule · outpatient · +2 other terms	15	$54	$54	$1	3%	—	$50 – $54
16	Ambetter case rate · outpatient · +3 other terms	12	$88	$98	$12	12%	—	$88 – $112
17	Tricare facility · fee schedule · outpatient · +1 other terms	10	$51	$52	$4	7%	—	$49 – $59
18	Highmark facility · fee schedule · outpatient · +2 other terms	9	$101	$98	$38	39%	—	$52 – $150
19	Medicare case rate · outpatient · +1 other terms	8	$49	$49	—	—	—	$49 – $49
20	Optum fee schedule · outpatient · +2 other terms	8	$53	$79	$38	48%	—	$49 – $133
21	Excellus case rate · outpatient	5	$92	$84	$34	41%	—	$53 – $147
22	Sanford Health Plan case rate · outpatient	3	$71	$71	$7	10%	—	$59 – $82
23	Aetna Better Health facility · case rate · outpatient	1	$38	$38	$12	32%	—	$26 – $50
24	Bcbs Nj facility · other · outpatient	1	$53	$53	—	—	—	$53 – $53
25	Magellan fee schedule · outpatient	1	$53	$53	—	—	—	$53 – $53

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