APC 9036

Infliximab injection (Renflexis)

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

Injection, renflexis

Payers reporting APC 9036

Payer pricing summary

Low

$14

Average

$56

Median

$29

High

$278

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +6 other terms	174	$28	$28	$1	2%	—	$26 – $32
2	Humana fee schedule · outpatient · +4 other terms	161	$28	$29	$8	28%	—	$26 – $111
3	Aetna fee schedule · outpatient · +5 other terms	155	$28	$28	$3	11%	—	$26 – $46
4	WellCare fee schedule · outpatient · +2 other terms	131	$29	$28	$1	4%	—	$26 – $37
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$28	$28	$2	6%	—	$27 – $45
6	Devoted fee schedule · outpatient · +2 other terms	122	$28	$27	$0	2%	—	$27 – $29
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$29	$28	$1	4%	—	$27 – $30
8	Molina fee schedule · outpatient · +3 other terms	69	$41	$39	$15	39%	—	$26 – $73
9	Superior Healthplan fee schedule · outpatient	40	$29	$29	$0	2%	—	$28 – $29
10	Anthem fee schedule · outpatient · +2 other terms	31	$28	$28	$1	3%	—	$26 – $29
11	Oscar fee schedule · outpatient · +2 other terms	27	$27	$30	$6	20%	—	$26 – $46
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$33	$33	$1	3%	—	$30 – $33
13	Cigna fee schedule · outpatient · +3 other terms	16	$28	$30	$9	30%	—	$26 – $65
14	Clover fee schedule · outpatient · +3 other terms	15	$28	$29	$1	2%	—	$28 – $29
15	Kaiser fee schedule · outpatient · +2 other terms	15	$28	$28	$1	2%	—	$27 – $28
16	Medicare facility · fee schedule · outpatient · +2 other terms	15	$28	$28	$0	2%	—	$27 – $28
17	Ambetter case rate · outpatient · +4 other terms	12	$49	$54	$7	12%	—	$49 – $62
18	Optum fee schedule · outpatient · +3 other terms	8	$28	$41	$19	46%	—	$27 – $67
19	Highmark case rate · outpatient · +2 other terms	5	$27	$37	$13	35%	—	$27 – $59
20	Medica facility · fee schedule · outpatient	5	$29	$29	$0	0%	—	$29 – $29
21	Tricare facility · fee schedule · outpatient	5	$27	$27	—	—	—	$27 – $27
22	Excellus case rate · outpatient	4	$37	$38	$14	37%	—	$27 – $61
23	Bcbs Nj facility · other · outpatient	3	$28	$28	—	—	—	$28 – $28
24	Sanford Health Plan case rate · outpatient	3	$36	$37	$4	10%	—	$30 – $42
25	Magellan facility · fee schedule · outpatient · +1 other terms	2	$29	$29	—	—	—	$29 – $29

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