APC 858

Cladribine injection, per 1 mg

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj cladribine per 1 mg

Payers reporting APC 858

Payer pricing summary

Low

Average

$25

Median

High

$281

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$8	$8	$1	14%	—	$7 – $12
2	Humana fee schedule · outpatient · +4 other terms	161	$7	$8	$2	28%	—	$7 – $30
3	Aetna fee schedule · outpatient · +3 other terms	155	$8	$8	$2	27%	—	$7 – $20
4	WellCare fee schedule · outpatient · +2 other terms	131	$8	$8	$1	9%	—	$7 – $12
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$8	$8	$1	14%	—	$7 – $12
6	Devoted fee schedule · outpatient · +1 other terms	122	$7	$8	$1	7%	—	$7 – $9
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$8	$8	$0	6%	—	$7 – $9
8	Molina fee schedule · outpatient · +2 other terms	69	$11	$12	$4	36%	—	$8 – $19
9	Superior Healthplan fee schedule · outpatient	40	$8	$8	$1	7%	—	$8 – $9
10	Anthem fee schedule · outpatient · +2 other terms	31	$8	$8	$2	19%	—	$7 – $12
11	Oscar fee schedule · outpatient · +2 other terms	27	$8	$9	$4	42%	—	$7 – $20
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$9	$9	$0	2%	—	$9 – $9
13	Medicare facility · fee schedule · outpatient · +2 other terms	17	$7	$8	$0	4%	—	$7 – $9
14	Cigna fee schedule · outpatient · +2 other terms	16	$8	$11	$6	56%	—	$8 – $33
15	Clover fee schedule · outpatient · +2 other terms	15	$9	$9	$1	8%	—	$8 – $9
16	Kaiser fee schedule · outpatient · +2 other terms	15	$8	$8	$1	16%	—	$7 – $12
17	Ambetter case rate · outpatient · +2 other terms	12	$19	$25	$7	27%	—	$19 – $33
18	Optum fee schedule · outpatient · +2 other terms	8	$9	$13	$6	51%	—	$7 – $22
19	Medica facility · fee schedule · outpatient	5	$8	$8	$0	1%	—	$8 – $8
20	Highmark facility · other · outpatient · +2 other terms	4	$12	$49	$108	221%	—	$8 – $392
21	Bcbs Nj facility · other · outpatient	3	$7	$7	—	—	—	$7 – $7
22	Excellus case rate · outpatient	2	$21	$21	$3	13%	—	$18 – $24
23	First Health facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
24	Magellan fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
25	Sanford Health Plan case rate · outpatient	1	$15	$15	$1	8%	—	$14 – $16