APC 9057

Nivolumab and relatlimab injection

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 nivol relatlimab 3mg/1mg

Payers reporting APC 9057

Payer pricing summary

Low

$103

Average

$667

Median

$212

High

$7.1k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$270	$276	$101	37%	46	$198 – $444
2	Highmark case rate · outpatient · +2 other terms	5	$198	$267	$95	35%	1–10	$198 – $434
3	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$204	$204	$3	2%	—	$187 – $212
4	Humana fee schedule · outpatient · +4 other terms	161	$202	$210	$57	27%	—	$187 – $807
5	Aetna fee schedule · outpatient · +4 other terms	155	$204	$208	$23	11%	—	$187 – $339
6	WellCare fee schedule · outpatient · +2 other terms	131	$208	$210	$8	4%	—	$194 – $266
7	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$206	$204	$7	4%	—	$191 – $286
8	Devoted fee schedule · outpatient · +1 other terms	122	$202	$202	$1	1%	—	$202 – $212
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$210	$206	$5	3%	—	$202 – $222
10	Molina fee schedule · outpatient · +3 other terms	69	$297	$289	$111	38%	—	$194 – $528
11	Superior Healthplan fee schedule · outpatient	40	$212	$212	$1	0%	—	$212 – $216
12	Anthem fee schedule · outpatient · +1 other terms	31	$202	$202	$5	2%	—	$194 – $208
13	Oscar fee schedule · outpatient · +2 other terms	27	$198	$219	$43	20%	—	$198 – $339
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$242	$241	$3	1%	—	$234 – $242
15	Cigna fee schedule · outpatient · +2 other terms	15	$206	$204	$8	4%	—	$194 – $218
16	Clover fee schedule · outpatient · +2 other terms	15	$212	$212	$1	0%	—	$212 – $216
17	Kaiser fee schedule · outpatient · +2 other terms	15	$206	$204	$3	1%	—	$198 – $206
18	Ambetter case rate · outpatient · +3 other terms	12	$356	$390	$40	10%	—	$356 – $437
19	Medicare facility · fee schedule · outpatient · +1 other terms	12	$202	$1.5k	$4.3k	298%	—	$202 – $16.4k
20	Optum fee schedule · outpatient · +1 other terms	8	$204	$304	$144	48%	—	$198 – $514
21	Tricare facility · fee schedule · outpatient	5	$198	$198	—	—	—	$198 – $198
22	Bcbs Nj facility · other · outpatient	3	$202	$202	—	—	—	$202 – $202
23	Sanford Health Plan case rate · outpatient	3	$286	$288	$29	10%	—	$239 – $330
24	Medica facility · fee schedule · outpatient	2	$212	$212	—	—	—	$212 – $212
25	Aetna Better Health facility · case rate · outpatient	1	$153	$153	$49	32%	—	$103 – $202

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