APC 09304

Cemiplimab 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., cemiplimab-rwlc, 1

Payers reporting APC 09304

Payer pricing summary

Low

$28

Average

$33

Median

$30

High

$50

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +1 other terms	86	$28	$28	$1	4%	—	$22 – $30
2	Caresource fee schedule · outpatient	20	$29	$29	$0	1%	—	$29 – $30
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$29	$29	—	—	—	$29 – $29
4	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	8	$29	$30	$3	9%	—	$29 – $37
5	Aetna fee schedule · outpatient · +1 other terms	5	$29	$29	$0	0%	—	$29 – $29
6	Clover fee schedule · outpatient	5	$29	$29	—	—	—	$29 – $29
7	Kaiser fee schedule · outpatient · +1 other terms	5	$30	$30	—	—	—	$30 – $30
8	Medicare fee schedule · outpatient · +1 other terms	5	$29	$29	—	—	—	$29 – $29
9	WellCare fee schedule · outpatient · +1 other terms	5	$30	$30	—	—	—	$30 – $30
10	Ambetter facility · fee schedule · outpatient	3	$55	$50	$6	12%	—	$42 – $55
11	Amerihealth Caritas facility · fee schedule · outpatient	3	$47	$43	$17	39%	—	$29 – $64
12	Carefirst facility · fee schedule · outpatient	3	$29	$29	—	—	—	$29 – $29
13	Tricare facility · fee schedule · outpatient	3	$29	$29	—	—	—	$29 – $29
14	Cigna facility · fee schedule · outpatient	2	$30	$30	—	—	—	$30 – $30
15	Devoted facility · fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31
16	Highmark facility · fee schedule · outpatient · +1 other terms	1	$28	$28	$2	7%	—	$26 – $30
17	Medica facility · fee schedule · outpatient	1	$30	$30	—	—	—	$30 – $30
18	Oscar facility · fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45