APC 09149

Ublituximab injection (Briumvi), 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj ublituximab-xiiy, 1 m

Payers reporting APC 09149

Payer pricing summary

Low

$70

Average

$166

Median

$177

High

$253

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$68	$104	$109	104%	—	$53 – $438
2	Caresource fee schedule · outpatient	20	$70	$143	$145	101%	—	$70 – $434
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$70	$193	$167	87%	—	$70 – $421
4	Aetna fee schedule · outpatient · +1 other terms	5	$251	$250	$178	71%	—	$71 – $430
5	Clover fee schedule · outpatient	5	$246	$246	$175	71%	—	$70 – $421
6	Kaiser fee schedule · outpatient · +1 other terms	5	$253	$253	$181	71%	—	$72 – $434
7	Medicare fee schedule · outpatient · +1 other terms	5	$246	$246	$175	71%	—	$70 – $421
8	UnitedHealthcare fee schedule · outpatient · +1 other terms	5	$246	$246	$175	71%	—	$70 – $421
9	WellCare fee schedule · outpatient	5	$253	$253	$181	71%	—	$72 – $434
10	Carefirst facility · fee schedule · outpatient	3	$70	$70	—	—	—	$70 – $70
11	Tricare facility · fee schedule · outpatient	3	$70	$70	—	—	—	$70 – $70
12	Medica facility · fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73