APC 826

Injection of adalimumab-fkjp, 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 adalimumab-fkjp, 1 mg

Payers reporting APC 826

Payer pricing summary

Low

$13

Average

$74

Median

$72

High

$152

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	21	$13	$22	$24	110%	—	$13 – $89
2	Aetna fee schedule · outpatient · +1 other terms	20	$90	$103	$27	26%	—	$87 – $152
3	UnitedHealthcare fee schedule · outpatient · +1 other terms	20	$90	$89	$2	2%	—	$87 – $91
4	Humana case rate · outpatient · +1 other terms	14	$14	$60	$40	66%	—	$13 – $98
5	Molina fee schedule · outpatient · +1 other terms	13	$89	$98	$14	15%	—	$87 – $131
6	Ambetter case rate · outpatient · +1 other terms	12	$24	$97	$87	89%	—	$24 – $200
7	Clover case rate · outpatient	12	$14	$49	$42	85%	—	$14 – $98
8	WellCare case rate · outpatient · +1 other terms	12	$14	$51	$44	86%	—	$14 – $103
9	Medicare case rate · outpatient	8	$13	$13	—	—	—	$13 – $13
10	Anthem fee schedule · outpatient · +1 other terms	7	$87	$87	$1	1%	—	$87 – $89
11	Cigna fee schedule · outpatient · +1 other terms	6	$87	$88	$2	2%	—	$87 – $91
12	Oscar fee schedule · outpatient	3	$152	$152	$0	0%	—	$152 – $152
13	Kaiser fee schedule · outpatient · +1 other terms	2	$89	$89	—	—	—	$89 – $89
14	Optum fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
15	Sanford Health Plan case rate · outpatient	1	$132	$132	$11	8%	—	$122 – $143