APC 835

Datopotamab deruxtecan infusion

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

Datopotamab deruxtecan, 1

Payers reporting APC 835

Payer pricing summary

Low

$52

Average

$162

Median

$54

High

$2.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	153	$52	$52	$1	1%	—	$51 – $54
2	Humana fee schedule · outpatient · +2 other terms	148	$52	$54	$15	28%	—	$50 – $206
3	Aetna fee schedule · outpatient · +1 other terms	135	$52	$52	$1	1%	—	$52 – $57
4	WellCare fee schedule · outpatient · +2 other terms	127	$53	$54	$2	4%	—	$52 – $68
5	Devoted fee schedule · outpatient · +1 other terms	122	$52	$52	$0	1%	—	$52 – $54
6	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	121	$53	$52	$1	1%	—	$51 – $54
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$54	$53	$1	3%	—	$52 – $57
8	Molina fee schedule · outpatient · +2 other terms	55	$76	$76	$29	38%	—	$53 – $135
9	Superior Healthplan fee schedule · outpatient	40	$54	$54	$0	0%	—	$54 – $55
10	Anthem fee schedule · outpatient	24	$52	$52	$1	1%	—	$52 – $53
11	Oscar fee schedule · outpatient · +2 other terms	24	$51	$52	$2	3%	—	$50 – $54
12	Amerihealth Caritas fee schedule · outpatient	17	$62	$62	$1	1%	—	$60 – $62
13	Clover fee schedule · outpatient · +2 other terms	15	$54	$54	$0	0%	—	$54 – $55
14	Kaiser fee schedule · outpatient · +1 other terms	13	$53	$53	$0	1%	—	$52 – $53
15	Cigna fee schedule · outpatient · +1 other terms	9	$53	$54	$1	3%	—	$53 – $56
16	Medicare case rate · outpatient · +1 other terms	8	$52	$52	—	—	—	$52 – $52
17	Optum fee schedule · outpatient · +1 other terms	8	$52	$78	$37	47%	—	$52 – $131
18	Ambetter case rate · outpatient · +1 other terms	7	$93	$93	—	—	—	$93 – $93
19	Highmark case rate · outpatient · +1 other terms	3	$52	$52	—	—	—	$52 – $52
20	Excellus case rate · outpatient	2	$102	$102	$13	13%	—	$89 – $116
21	Bcbs Nj facility · other · outpatient	1	$52	$52	—	—	—	$52 – $52
22	Magellan fee schedule · outpatient	1	$52	$52	—	—	—	$52 – $52
23	Sanford Health Plan case rate · outpatient	1	$76	$76	$6	8%	—	$70 – $83