Injection of aflibercept-ayyh biosimilar, per 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, aflibercept-ayyh, 1 mg

Payers reporting HCPCS Q5147

Payer pricing summary

Low

$453

Average

$1.4k

Median

$1.1k

High

$5.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	421	$1.3k	$1.4k	$662	47%	—	$698 – $5.0k
2	Aetna fee schedule · outpatient · +12 other terms	243	$859	$1.1k	$604	54%	—	$473 – $4.2k
3	Humana fee schedule · outpatient · +11 other terms	236	$842	$848	$130	15%	—	$597 – $1.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	219	$1.1k	$1.8k	$1.2k	66%	—	$1 – $4.9k
5	Cigna fee schedule · outpatient · +12 other terms	218	$1.2k	$2.2k	$1.9k	87%	—	$724 – $7.4k
6	Anthem fee schedule · outpatient · +11 other terms	96	$878	$1.5k	$1.1k	74%	—	$756 – $6.2k
7	Molina fee schedule · outpatient · +8 other terms	74	$1.2k	$1.2k	$518	43%	—	$602 – $4.8k
8	WellCare fee schedule · outpatient · +4 other terms	71	$859	$878	$68	8%	—	$801 – $1.2k
9	Caresource fee schedule · outpatient · +5 other terms	54	$928	$963	$183	19%	—	$796 – $1.5k
10	Kaiser fee schedule · outpatient · +8 other terms	54	$1.1k	$1.5k	$1.1k	69%	—	$693 – $6.3k
11	Devoted fee schedule · outpatient · +2 other terms	46	$859	$844	$40	5%	—	$782 – $920
12	Ambetter fee schedule · outpatient · +5 other terms	37	$1.5k	$1.6k	$308	19%	—	$778 – $2.2k
13	Optum fee schedule · outpatient · +6 other terms	33	$842	$1.1k	$497	44%	—	$763 – $2.5k
14	Medical Mutual facility · fee schedule · outpatient · +2 other terms	20	$1.2k	$1.7k	$872	51%	—	$447 – $3.7k
15	Medicare fee schedule · outpatient · +2 other terms	18	$842	$844	$3	0%	—	$842 – $849
16	Oscar facility · fee schedule · outpatient · +4 other terms	18	$1.1k	$1.1k	$140	13%	—	$827 – $1.4k
17	Regence facility · fee schedule · outpatient · +3 other terms	17	$901	$901	$58	6%	—	$730 – $1.1k
18	Highmark fee schedule · outpatient · +4 other terms	16	$1.1k	$1.2k	$457	39%	—	$474 – $4.8k
19	Wellmark fee schedule · both · +3 other terms	14	$796	$798	$12	1%	—	$796 – $869
20	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$902	$902	—	—	—	$902 – $902
21	Clover fee schedule · outpatient · +3 other terms	12	$877	$872	$58	7%	—	$814 – $959
22	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$901	$882	$21	2%	—	$859 – $901
23	Sanford Health Plan fee schedule · outpatient · +4 other terms	11	$846	$906	$49	5%	—	$846 – $946
24	Medica facility · fee schedule · outpatient · +4 other terms	10	$859	$883	$99	11%	—	$859 – $1.4k
25	Tricare fee schedule · outpatient · +4 other terms	10	$763	$779	$25	3%	—	$763 – $817

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