APC 09390

Pertuzumab and trastuzumab medication, 10 mg dose

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

Pertuzu, trastuzu, 10 mg

Payers reporting APC 09390

Payer pricing summary

Low

$60

Average

$68

Median

$62

High

$111

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$59	$60	$2	4%	—	$46 – $63
2	Caresource fee schedule · outpatient	20	$61	$62	$1	1%	—	$61 – $63
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$61	$61	—	—	—	$61 – $61
4	Medicare facility · fee schedule · outpatient · +1 other terms	7	$61	$61	$1	1%	—	$60 – $61
5	Aetna facility · fee schedule · outpatient · +1 other terms	6	$58	$60	$2	4%	—	$58 – $63
6	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	6	$62	$93	$73	78%	—	$60 – $271
7	Clover fee schedule · outpatient	5	$61	$61	—	—	—	$61 – $61
8	Kaiser fee schedule · outpatient · +1 other terms	5	$63	$63	—	—	—	$63 – $63
9	WellCare fee schedule · outpatient · +1 other terms	5	$63	$63	—	—	—	$63 – $63
10	Carefirst facility · fee schedule · outpatient	3	$61	$61	—	—	—	$61 – $61
11	Medica facility · fee schedule · outpatient	3	$63	$63	—	—	—	$63 – $63
12	Tricare facility · fee schedule · outpatient	3	$61	$61	—	—	—	$61 – $61
13	Ambetter facility · fee schedule · outpatient	2	$111	$111	—	—	—	$111 – $111
14	Amerihealth Caritas facility · fee schedule · outpatient	2	$94	$94	$34	37%	—	$60 – $129
15	Cigna facility · fee schedule · outpatient	2	$60	$60	—	—	—	$60 – $60