APC 9103

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 (freseni

Payers reporting APC 9103

Payer pricing summary

Low

Average

$41

Median

$28

High

$262

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$27	$26	$4	16%	—	$12 – $53
2	Humana fee schedule · outpatient · +4 other terms	161	$27	$28	$9	31%	—	$12 – $108
3	Aetna fee schedule · outpatient · +4 other terms	155	$27	$26	$5	19%	—	$12 – $53
4	WellCare fee schedule · outpatient · +2 other terms	131	$28	$28	$2	7%	—	$12 – $36
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$27	$27	$2	9%	—	$12 – $28
6	Devoted fee schedule · outpatient · +1 other terms	122	$27	$27	$0	0%	—	$27 – $28
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$28	$28	$1	3%	—	$27 – $29
8	Molina fee schedule · outpatient · +2 other terms	69	$40	$37	$17	45%	—	$12 – $71
9	Superior Healthplan fee schedule · outpatient	40	$28	$28	—	—	—	$28 – $28
10	Anthem fee schedule · outpatient · +1 other terms	31	$27	$24	$6	26%	—	$12 – $28
11	Oscar fee schedule · outpatient · +1 other terms	27	$27	$27	$2	8%	—	$21 – $28
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$33	$32	$1	2%	—	$31 – $33
13	Cigna fee schedule · outpatient · +2 other terms	15	$28	$22	$8	35%	—	$12 – $29
14	Clover fee schedule · outpatient · +2 other terms	15	$28	$28	—	—	—	$28 – $28
15	Kaiser fee schedule · outpatient · +2 other terms	15	$28	$26	$5	19%	—	$13 – $28
16	Ambetter case rate · outpatient · +2 other terms	12	$48	$79	$36	46%	—	$48 – $122
17	Medicare case rate · outpatient · +1 other terms	8	$27	$27	—	—	—	$27 – $27
18	Optum fee schedule · outpatient · +1 other terms	8	$27	$41	$19	47%	—	$27 – $68
19	Highmark case rate · outpatient · +2 other terms	5	$27	$36	$13	35%	—	$27 – $59
20	Tricare facility · fee schedule · outpatient	5	$27	$27	—	—	—	$27 – $27
21	Excellus case rate · outpatient	4	$37	$37	$14	37%	—	$27 – $60
22	Bcbs Nj facility · other · outpatient	3	$27	$27	—	—	—	$27 – $27
23	Medica facility · fee schedule · outpatient	3	$28	$28	—	—	—	$28 – $28
24	Sanford Health Plan case rate · outpatient	3	$5	$5	$0	10%	—	$4 – $6
25	Aetna Better Health facility · case rate · outpatient	1	$21	$21	$7	32%	—	$14 – $27

Page 1 of 2 · 27 payers