APC 808

HIV prevention medication (emtricitabine/tenofovir alafenamide)

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, ftc/taf 200/25m

Payers reporting APC 808

Payer pricing summary

Low

$71

Average

$86

Median

$77

High

$142

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	173	$72	$72	$1	1%	—	$71 – $75
2	Humana fee schedule · outpatient · +3 other terms	160	$71	$74	$20	27%	—	$69 – $285
3	Aetna fee schedule · outpatient · +2 other terms	155	$72	$74	$9	12%	—	$71 – $125
4	WellCare fee schedule · outpatient · +1 other terms	130	$73	$74	$3	3%	—	$71 – $94
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$73	$72	$1	1%	—	$70 – $74
6	Devoted fee schedule · outpatient	122	$71	$71	$0	0%	—	$71 – $75
7	Cigna Healthspring fee schedule · outpatient	110	$74	$73	$2	3%	—	$71 – $77
8	Molina fee schedule · outpatient · +1 other terms	68	$105	$102	$39	38%	—	$71 – $187
9	Superior Healthplan fee schedule · outpatient	40	$75	$75	$0	0%	—	$75 – $75
10	Anthem fee schedule · outpatient · +1 other terms	31	$71	$72	$1	1%	—	$71 – $73
11	Oscar fee schedule · outpatient	27	$70	$78	$17	22%	—	$70 – $125
12	Amerihealth Caritas fee schedule · outpatient	17	$86	$85	$2	2%	—	$81 – $86
13	Cigna fee schedule · outpatient · +1 other terms	15	$73	$73	$2	3%	—	$71 – $77
14	Clover fee schedule · outpatient · +1 other terms	15	$75	$75	$0	0%	—	$75 – $75
15	Kaiser fee schedule · outpatient · +1 other terms	15	$73	$73	$0	0%	—	$71 – $73
16	Ambetter case rate · outpatient · +1 other terms	12	$128	$149	$25	17%	—	$128 – $179
17	Medicare case rate · outpatient · +1 other terms	8	$71	$71	—	—	—	$71 – $71
18	Optum fee schedule · outpatient	8	$71	$107	$51	47%	—	$71 – $179
19	Highmark case rate · outpatient	3	$110	$105	$36	34%	—	$71 – $156
20	Excellus case rate · outpatient	2	$142	$142	$18	13%	—	$123 – $160
21	Medica facility · fee schedule · outpatient	2	$75	$75	—	—	—	$75 – $75
22	Magellan fee schedule · outpatient	1	$71	$71	—	—	—	$71 – $71
23	Sanford Health Plan case rate · outpatient	1	$108	$108	$9	8%	—	$99 – $117