APC 805

HIV prevention (PrEP) injection with cabotegravir

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

Hiv prep, inj, cabotegrav

Payers reporting APC 805

Payer pricing summary

Low

Average

$111

Median

High

$1.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	173	$7	$7	$0	2%	—	$7 – $8
2	Humana fee schedule · outpatient · +3 other terms	160	$7	$7	$2	27%	—	$7 – $29
3	Aetna fee schedule · outpatient · +3 other terms	155	$7	$7	$1	11%	—	$7 – $12
4	WellCare fee schedule · outpatient · +2 other terms	130	$7	$7	$0	4%	—	$7 – $9
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$7	$7	$0	2%	—	$7 – $8
6	Devoted fee schedule · outpatient · +2 other terms	122	$7	$7	$0	1%	—	$7 – $8
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$7	$7	$0	3%	—	$7 – $8
8	Molina fee schedule · outpatient · +2 other terms	68	$11	$10	$4	38%	—	$7 – $19
9	Superior Healthplan fee schedule · outpatient	40	$8	$8	$0	0%	—	$8 – $8
10	Anthem fee schedule · outpatient · +2 other terms	31	$7	$7	$0	2%	—	$7 – $7
11	Oscar fee schedule · outpatient · +2 other terms	27	$7	$8	$2	20%	—	$7 – $12
12	Amerihealth Caritas fee schedule · outpatient	17	$9	$9	$0	1%	—	$8 – $9
13	Cigna fee schedule · outpatient · +2 other terms	15	$7	$7	$0	4%	—	$7 – $8
14	Clover fee schedule · outpatient · +2 other terms	15	$8	$8	$0	1%	—	$8 – $8
15	Kaiser fee schedule · outpatient · +2 other terms	15	$7	$7	$0	1%	—	$7 – $7
16	Ambetter case rate · outpatient · +1 other terms	12	$13	$14	$1	11%	—	$13 – $16
17	Medicare case rate · outpatient · +1 other terms	8	$7	$7	—	—	—	$7 – $7
18	Optum fee schedule · outpatient · +2 other terms	8	$7	$11	$5	47%	—	$7 – $18
19	Highmark facility · other · outpatient · +1 other terms	4	$11	$451	$1.2k	258%	—	$7 – $3.5k
20	Bcbs Nj facility · other · outpatient	3	$7	$7	—	—	—	$7 – $7
21	Excellus case rate · outpatient	2	$14	$14	$2	13%	—	$12 – $16
22	Magellan fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
23	Sanford Health Plan case rate · outpatient	1	$11	$11	$1	8%	—	$10 – $12