Injection of daxibotulinumtoxinA-lanm

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 daxibotulinumtoxina-lanm

Payers reporting HCPCS C9160

Payer pricing summary

Low

Average

$63

Median

$43

High

$219

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	47	$7	$9	$5	52%	—	$3 – $20
2	Molina facility · case rate · outpatient · +2 other terms	26	$171	$153	$62	41%	—	$78 – $308
3	UnitedHealthcare facility · case rate · outpatient · +3 other terms	17	$185	$196	$54	27%	—	$78 – $314
4	Aetna facility · fee schedule · outpatient · +4 other terms	15	$10	$11	$2	16%	—	$9 – $18
5	Anthem facility · case rate · outpatient · +4 other terms	15	$182	$199	$47	23%	—	$124 – $308
6	Caresource facility · case rate · outpatient	15	$185	$199	$46	23%	—	$124 – $314
7	Optum facility · case rate · outpatient · +1 other terms	13	$164	$171	$57	33%	—	$74 – $279
8	Kaiser fee schedule · outpatient · +1 other terms	8	$25	$25	$7	28%	—	$15 – $42
9	Premera fee schedule · outpatient	8	$7	$7	—	—	—	$7 – $7
10	Cigna fee schedule · outpatient · +2 other terms	7	$6	$7	$4	54%	—	$3 – $12
11	Humana fee schedule · outpatient · +3 other terms	7	$59	$48	$74	155%	—	$3 – $171
12	Aetna Better Health facility · case rate · outpatient	6	$93	$93	—	—	—	$93 – $93
13	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$86	$86	—	—	—	$86 – $86
14	Bcbs Mn fee schedule · outpatient	5	$5	$5	$0	1%	—	$5 – $5
15	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$4	$4	—	—	—	$4 – $4
16	Medicaid facility · case rate · outpatient	2	$78	$78	—	—	—	$78 – $78
17	Regence facility · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
18	Wellmark facility · case rate · outpatient	2	$219	$219	$101	46%	—	$118 – $320
19	Bcbs Ca fee schedule · outpatient	1	$4	$4	$1	14%	—	$3 – $4
20	Bcbs Id professional · fee schedule · outpatient	1	$4	$4	—	—	—	$4 – $4
21	Beechstreet professional · fee schedule · outpatient	1	$4	$4	—	—	—	$4 – $4
22	WellCare facility · case rate · outpatient	1	$78	$78	—	—	—	$78 – $78