Injection, avacincaptad pegol 0.1 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- avacincaptad peg 0.1 mg

Payers reporting HCPCS C9162

Payer pricing summary

Low

$107

Average

$892

Median

$786

High

$2.8k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	45	$181	$238	$118	50%	—	$84 – $479
2	Molina facility · case rate · outpatient · +2 other terms	26	$2.4k	$2.0k	$1.1k	53%	—	$786 – $4.4k
3	UnitedHealthcare facility · case rate · outpatient · +3 other terms	17	$2.6k	$2.7k	$823	30%	—	$786 – $4.5k
4	Aetna facility · fee schedule · outpatient · +4 other terms	15	$262	$272	$43	16%	—	$224 – $441
5	Anthem facility · case rate · outpatient · +4 other terms	15	$2.6k	$2.8k	$668	23%	—	$1.8k – $4.4k
6	Caresource facility · case rate · outpatient	15	$2.7k	$2.8k	$653	23%	—	$1.8k – $4.5k
7	Optum facility · case rate · outpatient	13	$2.4k	$2.4k	$896	37%	—	$747 – $4.0k
8	Kaiser fee schedule · outpatient · +1 other terms	8	$501	$515	$142	28%	—	$301 – $851
9	Premera fee schedule · outpatient	8	$173	$173	—	—	—	$173 – $173
10	Aetna Better Health facility · case rate · outpatient	6	$943	$943	—	—	—	$943 – $943
11	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$865	$865	—	—	—	$865 – $865
12	Bcbs Mn fee schedule · outpatient	5	$108	$108	$1	1%	—	$108 – $110
13	Humana facility · case rate · outpatient · +3 other terms	5	$786	$818	$39	5%	—	$786 – $865
14	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$107	$107	—	—	—	$107 – $107
15	Cigna facility · fee schedule · outpatient · +2 other terms	2	$128	$138	$31	23%	—	$107 – $191
16	Medicaid facility · case rate · outpatient	2	$786	$786	—	—	—	$786 – $786
17	Regence facility · fee schedule · outpatient	2	$243	$243	—	—	—	$243 – $243
18	Wellmark facility · case rate · outpatient	2	$2.3k	$2.3k	$1.0k	46%	—	$1.2k – $3.3k
19	Bcbs Id professional · fee schedule · outpatient	1	$107	$107	—	—	—	$107 – $107
20	Beechstreet professional · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108
21	WellCare facility · case rate · outpatient	1	$786	$786	—	—	—	$786 – $786