APC 9110

Tremelimumab-actl 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, tremelimumab-actl, 1 mg

Payers reporting APC 9110

Payer pricing summary

Low

$74

Average

$1.2k

Median

$151

High

$15.4k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$192	$197	$72	37%	2–20	$141 – $316
2	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$144	$145	$2	2%	—	$136 – $150
3	Humana fee schedule · outpatient · +4 other terms	161	$143	$149	$41	27%	—	$136 – $572
4	Aetna fee schedule · outpatient · +4 other terms	155	$144	$148	$17	11%	—	$136 – $242
5	WellCare fee schedule · outpatient · +2 other terms	131	$147	$149	$6	4%	—	$138 – $189
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$146	$145	$5	4%	—	$136 – $203
7	Devoted fee schedule · outpatient · +1 other terms	122	$143	$143	$1	1%	—	$143 – $150
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$149	$147	$4	3%	—	$143 – $159
9	Molina fee schedule · outpatient · +2 other terms	69	$211	$205	$79	38%	—	$138 – $375
10	Superior Healthplan fee schedule · outpatient	40	$150	$150	$1	1%	—	$150 – $154
11	Anthem fee schedule · outpatient · +1 other terms	31	$143	$143	$3	2%	—	$138 – $147
12	Oscar fee schedule · outpatient · +1 other terms	27	$140	$155	$31	20%	—	$140 – $242
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$172	$171	$2	1%	—	$167 – $172
14	Cigna fee schedule · outpatient · +2 other terms	15	$146	$145	$5	4%	—	$138 – $154
15	Clover fee schedule · outpatient · +2 other terms	15	$150	$151	$1	1%	—	$150 – $154
16	Kaiser fee schedule · outpatient · +2 other terms	15	$146	$145	$2	1%	—	$141 – $146
17	Ambetter case rate · outpatient · +3 other terms	12	$254	$277	$28	10%	—	$254 – $311
18	Medicare facility · fee schedule · outpatient · +1 other terms	10	$143	$2.2k	$9.4k	418%	—	$143 – $44.1k
19	Optum fee schedule · outpatient · +1 other terms	8	$145	$216	$103	48%	—	$141 – $367
20	Highmark case rate · outpatient · +2 other terms	5	$141	$141	—	—	—	$141 – $141
21	Tricare facility · fee schedule · outpatient	5	$141	$141	—	—	—	$141 – $141
22	Bcbs Nj facility · other · outpatient	3	$143	$143	—	—	—	$143 – $143
23	Sanford Health Plan case rate · outpatient	3	$205	$206	$21	10%	—	$171 – $236
24	Medica facility · fee schedule · outpatient	2	$150	$150	—	—	—	$150 – $150
25	Aetna Better Health facility · case rate · outpatient	1	$109	$109	$35	32%	—	$74 – $144

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