APC 9109

Elahere (mirvetuximab) cancer drug injection, per 1 mg

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, elahere, 1 mg

Payers reporting APC 9109

Payer pricing summary

Low

$36

Average

$233

Median

$74

High

$3.1k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$95	$97	$35	37%	91–100	$69 – $156
2	Highmark case rate · outpatient · +2 other terms	5	$69	$69	—	—	1–10	$69 – $69
3	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$72	$72	$1	2%	—	$66 – $75
4	Humana fee schedule · outpatient · +4 other terms	161	$71	$74	$20	27%	—	$66 – $285
5	Aetna fee schedule · outpatient · +4 other terms	155	$72	$73	$8	11%	—	$66 – $119
6	WellCare fee schedule · outpatient · +2 other terms	131	$73	$74	$3	4%	—	$68 – $94
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$72	$72	$3	4%	—	$67 – $100
8	Devoted fee schedule · outpatient · +1 other terms	122	$71	$71	$0	0%	—	$71 – $75
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$74	$73	$2	3%	—	$71 – $78
10	Molina fee schedule · outpatient · +3 other terms	69	$105	$102	$39	39%	—	$68 – $186
11	Superior Healthplan fee schedule · outpatient	40	$75	$75	$0	0%	—	$75 – $76
12	Anthem fee schedule · outpatient · +1 other terms	31	$71	$71	$2	2%	—	$68 – $73
13	Oscar fee schedule · outpatient · +2 other terms	27	$70	$77	$15	20%	—	$70 – $119
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$85	$85	$1	1%	—	$82 – $85
15	Cigna fee schedule · outpatient · +2 other terms	15	$73	$72	$3	4%	—	$68 – $77
16	Clover fee schedule · outpatient · +2 other terms	15	$75	$75	$0	0%	—	$75 – $76
17	Kaiser fee schedule · outpatient · +2 other terms	15	$73	$72	$1	1%	—	$69 – $73
18	Ambetter case rate · outpatient · +2 other terms	12	$125	$137	$14	10%	—	$125 – $153
19	Medicare case rate · outpatient · +1 other terms	8	$69	$69	—	—	—	$69 – $69
20	Optum fee schedule · outpatient · +1 other terms	8	$72	$107	$51	47%	—	$69 – $180
21	Tricare facility · fee schedule · outpatient	5	$69	$69	—	—	—	$69 – $69
22	Bcbs Nj facility · other · outpatient	3	$71	$71	—	—	—	$71 – $71
23	Sanford Health Plan case rate · outpatient	3	$101	$101	$10	10%	—	$84 – $116
24	Aetna Better Health facility · case rate · outpatient	1	$54	$54	$17	32%	—	$36 – $71
25	Magellan fee schedule · outpatient	1	$71	$71	—	—	—	$71 – $71

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