APC 786

Tofidence (tocilizumab-bavi) injection, per 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, tofidence, 1 mg

Payers reporting APC 786

Payer pricing summary

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Average

Median

High

$11

Payer rate distribution

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1	UnitedHealthcare fee schedule · outpatient · +3 other terms	173	$6	$6	$0	4%	—	$5 – $6
2	Humana fee schedule · outpatient · +2 other terms	160	$6	$6	$2	29%	—	$5 – $22
3	Aetna fee schedule · outpatient · +3 other terms	155	$6	$6	$1	15%	—	$5 – $10
4	WellCare fee schedule · outpatient · +2 other terms	130	$6	$6	$0	5%	—	$5 – $7
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$6	$6	$0	4%	—	$5 – $6
6	Devoted fee schedule · outpatient · +1 other terms	122	$6	$5	$0	3%	—	$5 – $6
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$6	$5	$0	6%	—	$5 – $6
8	Molina fee schedule · outpatient · +2 other terms	68	$8	$8	$3	39%	—	$5 – $15
9	Superior Healthplan fee schedule · outpatient	40	$6	$6	$0	3%	—	$5 – $6
10	Anthem fee schedule · outpatient · +1 other terms	31	$6	$6	$0	4%	—	$5 – $6
11	Oscar fee schedule · outpatient · +1 other terms	27	$5	$6	$1	24%	—	$5 – $10
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$7	$7	$0	6%	—	$6 – $7
13	Cigna fee schedule · outpatient · +2 other terms	15	$6	$6	$0	3%	—	$6 – $6
14	Clover fee schedule · outpatient · +2 other terms	15	$6	$6	$0	3%	—	$5 – $6
15	Kaiser fee schedule · outpatient · +1 other terms	15	$6	$6	$0	2%	—	$6 – $6
16	Ambetter case rate · outpatient · +1 other terms	12	$10	$11	$2	14%	—	$10 – $13
17	Medicare case rate · outpatient · +1 other terms	8	$6	$6	—	—	—	$6 – $6
18	Optum fee schedule · outpatient · +1 other terms	8	$6	$8	$4	44%	—	$5 – $13
19	Highmark case rate · outpatient · +1 other terms	3	$6	$6	—	—	—	$6 – $6
20	Excellus case rate · outpatient	2	$11	$11	$1	13%	—	$10 – $12
21	Medica facility · fee schedule · outpatient	2	$6	$6	—	—	—	$6 – $6
22	Magellan fee schedule · outpatient	1	$6	$6	—	—	—	$6 – $6
23	Sanford Health Plan case rate · outpatient	1	$9	$9	$1	8%	—	$8 – $10