APC 1471

Pertuzumab 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

Injection, Pertuzumab, 1 mg

Payers reporting APC 1471

Payer pricing summary

Low

Average

$231

Median

$20

High

$2.5k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$23	$24	$9	37%	377	$17 – $38
2	Highmark case rate · outpatient · +2 other terms	5	$17	$23	$8	35%	21	$17 – $37
3	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$17	$17	$0	2%	—	$16 – $18
4	Humana fee schedule · outpatient · +5 other terms	161	$17	$18	$5	27%	—	$16 – $68
5	Aetna fee schedule · outpatient · +5 other terms	155	$17	$17	$2	11%	—	$16 – $28
6	WellCare fee schedule · outpatient · +2 other terms	131	$18	$18	$1	4%	—	$16 – $22
7	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$17	$17	$1	3%	—	$16 – $24
8	Devoted fee schedule · outpatient · +2 other terms	122	$17	$17	$0	0%	—	$17 – $18
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$18	$17	$0	3%	—	$17 – $19
10	Molina fee schedule · outpatient · +3 other terms	69	$25	$24	$9	39%	—	$16 – $45
11	Superior Healthplan fee schedule · outpatient	40	$18	$18	$0	0%	—	$18 – $18
12	Anthem fee schedule · outpatient · +1 other terms	31	$17	$17	$0	3%	—	$16 – $18
13	Oscar fee schedule · outpatient · +3 other terms	27	$17	$18	$3	19%	—	$17 – $28
14	Medicare facility · fee schedule · outpatient · +2 other terms	20	$17	$330	$1.5k	445%	—	$17 – $7.2k
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$20	$20	$0	1%	—	$20 – $20
16	Cigna fee schedule · outpatient · +3 other terms	16	$17	$17	$1	5%	—	$16 – $19
17	Clover fee schedule · outpatient · +3 other terms	15	$18	$18	$0	0%	—	$18 – $18
18	Kaiser fee schedule · outpatient · +2 other terms	15	$17	$17	$0	2%	—	$17 – $17
19	Ambetter case rate · outpatient · +3 other terms	12	$31	$33	$3	9%	—	$31 – $37
20	Optum fee schedule · outpatient · +2 other terms	8	$17	$26	$12	47%	—	$17 – $43
21	Medica facility · fee schedule · outpatient	5	$18	$18	$0	0%	—	$18 – $18
22	Tricare facility · fee schedule · outpatient	5	$17	$17	—	—	—	$17 – $17
23	Bcbs Nj facility · other · outpatient	3	$17	$17	—	—	—	$17 – $17
24	Sanford Health Plan case rate · outpatient	3	$24	$25	$3	10%	—	$20 – $28
25	Aetna Better Health facility · case rate · outpatient	1	$13	$13	$4	32%	—	$9 – $17

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