APC 894

Telisotuzumab vedotin-tll infusion drug

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

Telisotuzumab vedotin-tll

Payers reporting APC 894

Payer pricing summary

Low

$144

Average

$169

Median

$149

High

$286

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	153	$147	$147	$2	1%	—	$145 – $153
2	Humana fee schedule · outpatient · +1 other terms	148	$146	$152	$43	28%	—	$140 – $583
3	Aetna fee schedule · outpatient · +1 other terms	135	$147	$148	$2	1%	—	$145 – $160
4	WellCare fee schedule · outpatient · +1 other terms	127	$150	$152	$5	3%	—	$146 – $193
5	Devoted fee schedule · outpatient	122	$146	$146	$0	0%	—	$146 – $153
6	Cigna Healthspring fee schedule · outpatient	110	$152	$149	$4	3%	—	$146 – $158
7	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	105	$149	$147	$2	1%	—	$143 – $152
8	Molina fee schedule · outpatient · +1 other terms	55	$215	$215	$83	39%	—	$149 – $382
9	Superior Healthplan fee schedule · outpatient	40	$153	$153	$0	0%	—	$153 – $153
10	Anthem fee schedule · outpatient	24	$146	$147	$2	1%	—	$146 – $150
11	Oscar fee schedule · outpatient	24	$143	$147	$5	3%	—	$143 – $153
12	Amerihealth Caritas fee schedule · outpatient	17	$175	$174	$3	2%	—	$167 – $175
13	Clover fee schedule · outpatient · +1 other terms	15	$153	$153	$0	0%	—	$153 – $153
14	Kaiser fee schedule · outpatient	13	$149	$149	$1	1%	—	$146 – $149
15	Cigna fee schedule · outpatient · +1 other terms	9	$149	$152	$4	3%	—	$149 – $158
16	Medicare case rate · outpatient	8	$144	$144	—	—	—	$144 – $144
17	Optum fee schedule · outpatient	8	$146	$228	$106	47%	—	$146 – $365
18	Ambetter case rate · outpatient · +1 other terms	7	$259	$259	—	—	—	$259 – $259
19	Highmark case rate · outpatient	3	$144	$144	—	—	—	$144 – $144
20	Excellus case rate · outpatient	2	$286	$286	$37	13%	—	$249 – $323
21	Magellan fee schedule · outpatient	1	$146	$146	—	—	—	$146 – $146