APC 1861

Bendeka injection, per milligram

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., bendeka 1 mg

Payers reporting APC 1861

Payer pricing summary

Low

Average

$228

Median

$15

High

$4.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Excellus case rate · outpatient · +1 other terms	4	$18	$19	$7	37%	62	$13 – $30
2	Ucare other · outpatient	1	$4.2k	$4.2k	—	—	1–10	$4.2k – $4.2k
3	UnitedHealthcare fee schedule · outpatient · +6 other terms	174	$13	$13	$0	2%	—	$13 – $14
4	Humana fee schedule · outpatient · +5 other terms	161	$13	$13	$4	28%	—	$12 – $51
5	Aetna fee schedule · outpatient · +5 other terms	155	$13	$13	$2	14%	—	$12 – $24
6	WellCare fee schedule · outpatient · +2 other terms	131	$13	$13	$0	3%	—	$13 – $17
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$13	$13	$1	5%	—	$13 – $20
8	Devoted fee schedule · outpatient · +2 other terms	122	$13	$13	$0	1%	—	$13 – $13
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$13	$13	$0	3%	—	$13 – $14
10	Molina fee schedule · outpatient · +3 other terms	69	$19	$18	$7	38%	—	$13 – $34
11	Superior Healthplan fee schedule · outpatient	40	$13	$13	$0	1%	—	$13 – $14
12	Anthem fee schedule · outpatient · +2 other terms	31	$13	$13	$0	2%	—	$13 – $14
13	Oscar fee schedule · outpatient · +3 other terms	27	$13	$14	$3	24%	—	$13 – $24
14	Medicare facility · fee schedule · outpatient · +2 other terms	21	$13	$13	$0	3%	—	$11 – $13
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$15	$15	$0	3%	—	$14 – $15
16	Cigna fee schedule · outpatient · +2 other terms	16	$13	$14	$2	17%	—	$13 – $23
17	Clover fee schedule · outpatient · +3 other terms	15	$14	$14	$0	1%	—	$13 – $14
18	Kaiser fee schedule · outpatient · +2 other terms	15	$13	$13	$0	2%	—	$13 – $14
19	Ambetter case rate · outpatient · +3 other terms	12	$24	$27	$3	10%	—	$24 – $30
20	Optum fee schedule · outpatient · +2 other terms	8	$13	$19	$9	47%	—	$13 – $32
21	Highmark case rate · outpatient · +2 other terms	5	$13	$18	$6	35%	—	$13 – $30
22	Medica facility · fee schedule · outpatient	5	$13	$13	$0	0%	—	$13 – $13
23	Tricare facility · fee schedule · outpatient	5	$13	$13	—	—	—	$13 – $13
24	Bcbs Nj facility · other · outpatient	3	$13	$13	—	—	—	$13 – $13
25	Sanford Health Plan case rate · outpatient	3	$19	$19	$2	10%	—	$16 – $22

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