APC 828

Adalimumab-aaty 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 adalimumab-aaty, 1 mg

Payers reporting APC 828

Payer pricing summary

Low

$14

Average

$40

Median

$38

High

$76

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	21	$14	$17	$10	57%	—	$14 – $44
2	Aetna fee schedule · outpatient · +1 other terms	20	$45	$52	$14	26%	—	$44 – $76
3	UnitedHealthcare fee schedule · outpatient · +1 other terms	20	$45	$45	$1	2%	—	$44 – $46
4	Humana case rate · outpatient · +1 other terms	14	$14	$33	$16	49%	—	$14 – $49
5	Molina fee schedule · outpatient · +1 other terms	13	$44	$49	$7	15%	—	$44 – $65
6	Ambetter case rate · outpatient · +1 other terms	12	$25	$56	$37	66%	—	$25 – $100
7	Clover case rate · outpatient	12	$14	$29	$17	60%	—	$14 – $49
8	WellCare case rate · outpatient · +1 other terms	12	$15	$30	$18	60%	—	$15 – $51
9	Medicare case rate · outpatient	8	$14	$14	—	—	—	$14 – $14
10	Anthem fee schedule · outpatient · +1 other terms	7	$44	$44	$0	1%	—	$44 – $44
11	Cigna fee schedule · outpatient · +1 other terms	6	$44	$44	$1	2%	—	$44 – $45
12	Oscar fee schedule · outpatient	3	$76	$76	$0	0%	—	$76 – $76
13	Kaiser fee schedule · outpatient · +1 other terms	2	$44	$44	—	—	—	$44 – $44
14	Optum fee schedule · outpatient	1	$14	$14	—	—	—	$14 – $14
15	Sanford Health Plan case rate · outpatient	1	$66	$66	$5	8%	—	$61 – $71