APC 9516

Platelet-rich plasma treatment

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

Plaelet rich plasma unit

Payers reporting APC 9516

Payer pricing summary

Low

$291

Average

$698

Median

$588

High

$2.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$565	$566	$6	1%	—	$549 – $588
2	Humana fee schedule · outpatient · +4 other terms	161	$560	$582	$160	27%	—	$537 – $2.2k
3	Aetna fee schedule · outpatient · +3 other terms	155	$565	$579	$70	12%	—	$549 – $975
4	WellCare fee schedule · outpatient · +2 other terms	131	$577	$582	$20	3%	—	$557 – $739
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$568	$576	$107	19%	—	$549 – $1.7k
6	Devoted fee schedule · outpatient	122	$560	$560	$2	0%	—	$560 – $588
7	Cigna Healthspring fee schedule · outpatient	110	$582	$570	$16	3%	—	$560 – $605
8	Molina fee schedule · outpatient · +2 other terms	69	$824	$802	$308	38%	—	$557 – $1.5k
9	Superior Healthplan fee schedule · outpatient	40	$588	$588	—	—	—	$588 – $588
10	Anthem fee schedule · outpatient · +1 other terms	31	$560	$564	$8	1%	—	$557 – $577
11	Oscar fee schedule · outpatient	27	$549	$611	$130	21%	—	$549 – $975
12	Amerihealth Caritas fee schedule · outpatient	17	$672	$666	$13	2%	—	$638 – $672
13	Cigna fee schedule · outpatient · +2 other terms	15	$571	$575	$16	3%	—	$557 – $605
14	Clover fee schedule · outpatient · +1 other terms	15	$588	$588	—	—	—	$588 – $588
15	Kaiser fee schedule · outpatient · +1 other terms	15	$571	$570	$3	0%	—	$560 – $571
16	Ambetter case rate · outpatient · +2 other terms	12	$1.0k	$1.1k	$136	12%	—	$1.0k – $1.3k
17	Medicare case rate · outpatient	8	$557	$557	—	—	—	$557 – $557
18	Optum fee schedule · outpatient	8	$560	$839	$396	47%	—	$557 – $1.4k
19	Tricare case rate · outpatient · +1 other terms	7	$529	$529	—	—	—	$529 – $529
20	Excellus case rate · outpatient	5	$969	$878	$356	41%	—	$560 – $1.5k
21	Highmark case rate · outpatient	5	$560	$796	$299	38%	—	$560 – $1.3k
22	Sanford Health Plan case rate · outpatient	3	$808	$813	$82	10%	—	$675 – $930
23	Aetna Better Health facility · case rate · outpatient	1	$430	$430	$139	32%	—	$291 – $568
24	Magellan fee schedule · outpatient	1	$560	$560	—	—	—	$560 – $560
25	Medicaid facility · case rate · outpatient	1	$291	$291	—	—	—	$291 – $291