APC 09110

Tremelimumab-actl injection

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, tremelimumab-actl, 1

Payers reporting APC 09110

Payer pricing summary

Low

$140

Average

$158

Median

$146

High

$222

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$139	$139	$5	4%	—	$107 – $149
2	Caresource fee schedule · outpatient	20	$143	$144	$2	1%	—	$143 – $147
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$143	$143	—	—	—	$143 – $143
4	Aetna fee schedule · outpatient · +1 other terms	5	$146	$145	$1	0%	—	$144 – $146
5	Clover fee schedule · outpatient	5	$143	$143	—	—	—	$143 – $143
6	Kaiser fee schedule · outpatient · +1 other terms	5	$147	$147	—	—	—	$147 – $147
7	Medicare fee schedule · outpatient · +1 other terms	5	$143	$143	—	—	—	$143 – $143
8	UnitedHealthcare fee schedule · outpatient · +1 other terms	5	$143	$143	—	—	—	$143 – $143
9	WellCare fee schedule · outpatient · +1 other terms	5	$147	$147	—	—	—	$147 – $147
10	Carefirst facility · fee schedule · outpatient	3	$143	$143	—	—	—	$143 – $143
11	Tricare facility · fee schedule · outpatient	3	$143	$143	—	—	—	$143 – $143
12	Ambetter facility · fee schedule · outpatient	1	$201	$201	—	—	—	$201 – $201
13	Amerihealth Caritas facility · fee schedule · outpatient	1	$146	$146	—	—	—	$146 – $146
14	Devoted facility · fee schedule · outpatient	1	$150	$150	—	—	—	$150 – $150
15	Highmark facility · fee schedule · outpatient · +1 other terms	1	$138	$138	$10	7%	—	$129 – $151
16	Medica facility · fee schedule · outpatient	1	$149	$149	—	—	—	$149 – $149
17	Oscar facility · fee schedule · outpatient	1	$215	$215	—	—	—	$215 – $215