APC 9102

Fulvestrant 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, fulvestrant (teva)

Payers reporting APC 9102

Payer pricing summary

Low

$24

Average

$61

Median

$43

High

$469

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$42	$40	$6	14%	—	$21 – $44
2	Humana fee schedule · outpatient · +4 other terms	161	$42	$42	$13	30%	—	$21 – $167
3	Aetna fee schedule · outpatient · +3 other terms	155	$42	$40	$6	16%	—	$21 – $46
4	WellCare fee schedule · outpatient · +2 other terms	131	$43	$43	$3	7%	—	$21 – $55
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$43	$42	$3	8%	—	$21 – $46
6	Devoted fee schedule · outpatient · +1 other terms	122	$42	$42	$0	0%	—	$42 – $44
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$43	$42	$1	3%	—	$42 – $45
8	Molina fee schedule · outpatient · +2 other terms	69	$61	$57	$25	44%	—	$21 – $109
9	Superior Healthplan fee schedule · outpatient	40	$44	$44	—	—	—	$44 – $44
10	Anthem fee schedule · outpatient · +1 other terms	31	$42	$38	$9	23%	—	$21 – $43
11	Oscar fee schedule · outpatient · +1 other terms	27	$41	$41	$2	5%	—	$37 – $44
12	Amerihealth Caritas fee schedule · outpatient	17	$50	$50	$1	2%	—	$48 – $50
13	Cigna fee schedule · outpatient · +1 other terms	15	$43	$35	$11	31%	—	$21 – $45
14	Clover fee schedule · outpatient · +2 other terms	15	$44	$44	—	—	—	$44 – $44
15	Kaiser fee schedule · outpatient · +2 other terms	15	$43	$40	$7	17%	—	$22 – $43
16	Ambetter case rate · outpatient · +2 other terms	12	$83	$69	$17	25%	—	$49 – $83
17	Medicare case rate · outpatient · +1 other terms	8	$46	$46	—	—	—	$46 – $46
18	Optum fee schedule · outpatient · +1 other terms	8	$43	$63	$29	46%	—	$42 – $104
19	Highmark case rate · outpatient · +1 other terms	5	$42	$56	$20	35%	—	$42 – $91
20	Tricare facility · fee schedule · outpatient	5	$46	$46	—	—	—	$46 – $46
21	Excellus case rate · outpatient	4	$57	$58	$21	37%	—	$42 – $94
22	Medica facility · fee schedule · outpatient	3	$43	$43	—	—	—	$43 – $43
23	Sanford Health Plan case rate · outpatient	3	$67	$67	$7	10%	—	$56 – $77
24	Aetna Better Health facility · case rate · outpatient	1	$36	$36	$11	32%	—	$24 – $47
25	Bcbs Nj facility · other · outpatient	1	$42	$42	—	—	—	$42 – $42

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