APC 9029

Guselkumab 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., guselkumab, 1 mg

Payers reporting APC 9029

Payer pricing summary

Low

$40

Average

$749

Median

$77

High

$10.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Excellus case rate · outpatient	4	$104	$106	$39	37%	2–20	$76 – $171
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$74	$73	$2	3%	—	$67 – $77
3	Humana fee schedule · outpatient · +4 other terms	161	$73	$74	$21	28%	—	$64 – $292
4	Aetna fee schedule · outpatient · +4 other terms	155	$74	$74	$10	13%	—	$66 – $129
5	WellCare fee schedule · outpatient · +2 other terms	131	$75	$73	$4	5%	—	$68 – $96
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$74	$73	$4	6%	—	$67 – $110
7	Devoted fee schedule · outpatient · +2 other terms	122	$73	$71	$2	3%	—	$67 – $77
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$74	$72	$4	6%	—	$67 – $78
9	Molina fee schedule · outpatient · +2 other terms	69	$107	$102	$40	39%	—	$73 – $191
10	Superior Healthplan fee schedule · outpatient	40	$77	$75	$2	3%	—	$70 – $77
11	Anthem fee schedule · outpatient · +2 other terms	31	$74	$74	$1	2%	—	$67 – $75
12	Oscar fee schedule · outpatient · +1 other terms	27	$71	$79	$18	23%	—	$66 – $129
13	Amerihealth Caritas fee schedule · outpatient	17	$88	$86	$4	5%	—	$76 – $88
14	Cigna fee schedule · outpatient · +2 other terms	16	$74	$77	$8	11%	—	$74 – $108
15	Clover fee schedule · outpatient · +2 other terms	15	$71	$73	$3	4%	—	$70 – $77
16	Kaiser fee schedule · outpatient · +2 other terms	15	$74	$74	$0	1%	—	$73 – $75
17	Ambetter case rate · outpatient · +3 other terms	12	$137	$151	$17	11%	—	$137 – $171
18	Medicare case rate · outpatient · +2 other terms	8	$76	$76	—	—	—	$76 – $76
19	Optum fee schedule · outpatient · +2 other terms	8	$74	$105	$45	43%	—	$67 – $170
20	Highmark case rate · outpatient · +1 other terms	5	$76	$103	$36	35%	—	$76 – $167
21	Tricare facility · fee schedule · outpatient	5	$76	$76	—	—	—	$76 – $76
22	Bcbs Nj facility · other · outpatient	3	$73	$73	—	—	—	$73 – $73
23	Sanford Health Plan case rate · outpatient	3	$108	$109	$11	10%	—	$91 – $125
24	Aetna Better Health facility · case rate · outpatient	1	$59	$59	$19	32%	—	$40 – $77
25	Magellan fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73

Page 1 of 2 · 26 payers