APC 895

Ustekinumab 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-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 ustekinumab-aauz 1 mg

Payers reporting APC 895

Payer pricing summary

Low

$25

Average

$71

Median

$33

High

$835

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	153	$33	$30	$7	24%	—	$13 – $35
2	Humana fee schedule · outpatient · +2 other terms	148	$33	$29	$13	46%	—	$13 – $132
3	Aetna fee schedule · outpatient · +1 other terms	135	$33	$29	$8	28%	—	$13 – $36
4	WellCare fee schedule · outpatient · +1 other terms	127	$34	$24	$10	41%	—	$13 – $44
5	Devoted fee schedule · outpatient · +1 other terms	122	$33	$28	$9	31%	—	$13 – $35
6	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	121	$33	$28	$9	30%	—	$13 – $34
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$34	$25	$10	40%	—	$13 – $35
8	Molina fee schedule · outpatient · +1 other terms	55	$49	$39	$23	59%	—	$14 – $86
9	Superior Healthplan fee schedule · outpatient	40	$35	$30	$8	28%	—	$14 – $35
10	Anthem fee schedule · outpatient	24	$33	$33	$4	12%	—	$13 – $34
11	Oscar fee schedule · outpatient · +1 other terms	24	$32	$29	$9	30%	—	$14 – $35
12	Amerihealth Caritas fee schedule · outpatient	17	$40	$35	$9	27%	—	$15 – $40
13	Clover fee schedule · outpatient · +2 other terms	15	$15	$23	$10	43%	—	$14 – $35
14	Kaiser fee schedule · outpatient · +1 other terms	13	$34	$34	$0	1%	—	$33 – $34
15	Cigna fee schedule · outpatient · +1 other terms	9	$34	$34	$1	3%	—	$34 – $36
16	Medicare case rate · outpatient · +1 other terms	8	$33	$33	—	—	—	$33 – $33
17	Optum fee schedule · outpatient · +1 other terms	8	$33	$31	$6	21%	—	$13 – $35
18	Ambetter case rate · outpatient · +1 other terms	7	$60	$60	—	—	—	$60 – $60
19	Highmark case rate · outpatient · +1 other terms	3	$33	$33	—	—	—	$33 – $33
20	Excellus case rate · outpatient	2	$66	$66	$9	13%	—	$57 – $74
21	Bcbs Nj facility · other · outpatient	1	$33	$33	—	—	—	$33 – $33
22	Magellan fee schedule · outpatient	1	$33	$33	—	—	—	$33 – $33