APC 07043
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.
Original text from hospital filings
Infliximab not biosimil 1
Low
$32
Average
$122
Median
$80
High
$475
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 9.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 86 | $31 | $59 | $86 | 147% | — | $24 – $337 |
| 2 | Caresource fee schedule · outpatient | 20 | $32 | $83 | $112 | 135% | — | $32 – $334 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $32 | $108 | $128 | 118% | — | $32 – $324 |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 10 | $33 | $175 | $156 | 89% | — | $31 – $393 |
| 5 | Aetna facility · fee schedule · outpatient · +1 other terms | 7 | $31 | $31 | $1 | 3% | — | $31 – $33 |
| 6 | Medicare facility · fee schedule · outpatient · +1 other terms | 7 | $32 | $153 | $140 | 91% | — | $32 – $315 |
| 7 | Clover fee schedule · outpatient | 5 | $130 | $130 | $138 | 106% | — | $32 – $324 |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $134 | $134 | $142 | 106% | — | $33 – $334 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $134 | $134 | $142 | 106% | — | $33 – $334 |
| 10 | Ambetter facility · fee schedule · outpatient | 3 | $582 | $475 | $216 | 45% | — | $43 – $582 |
| 11 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $496 | $444 | $224 | 50% | — | $33 – $677 |
| 12 | Carefirst facility · fee schedule · outpatient | 3 | $32 | $32 | — | — | — | $32 – $32 |
| 13 | Medica facility · fee schedule · outpatient | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 14 | Tricare facility · fee schedule · outpatient | 3 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | Cigna facility · fee schedule · outpatient | 2 | $315 | $315 | — | — | — | $315 – $315 |
| 16 | Aetna Better Health facility · fee schedule · outpatient · +1 other terms | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 17 | Anthem facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 18 | Bcbs Mi facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 19 | Devoted facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 20 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $31 | $31 | $2 | 7% | — | $29 – $34 |
| 21 | Medical Mutual facility · other · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 22 | Oscar facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
← Hospitals reporting APC 07043 · Snapshot 20261111T120946Z-9134e7f7