APC 9112

Teplizumab injection, 5 mcg

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 teplizumab mzwv 5 mcg

Payers reporting APC 9112

Payer pricing summary

Low

$20

Average

$42

Median

$40

High

$64

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$39	$39	$1	1%	—	$36 – $40
2	Humana fee schedule · outpatient · +3 other terms	161	$38	$40	$11	27%	—	$36 – $154
3	Aetna fee schedule · outpatient · +4 other terms	155	$39	$40	$5	11%	—	$36 – $65
4	WellCare fee schedule · outpatient · +2 other terms	131	$40	$40	$2	4%	—	$37 – $51
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$39	$39	$1	4%	—	$37 – $55
6	Devoted fee schedule · outpatient · +1 other terms	122	$38	$38	$0	1%	—	$38 – $40
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$40	$39	$1	3%	—	$38 – $42
8	Molina fee schedule · outpatient · +2 other terms	69	$57	$55	$21	38%	—	$37 – $101
9	Superior Healthplan fee schedule · outpatient	40	$40	$40	$0	0%	—	$40 – $41
10	Anthem fee schedule · outpatient · +1 other terms	31	$38	$39	$1	2%	—	$37 – $40
11	Oscar fee schedule · outpatient · +1 other terms	27	$38	$42	$8	20%	—	$38 – $65
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$46	$46	$1	1%	—	$45 – $46
13	Cigna fee schedule · outpatient · +1 other terms	15	$39	$39	$1	4%	—	$37 – $41
14	Clover fee schedule · outpatient · +1 other terms	15	$40	$40	$0	1%	—	$40 – $41
15	Kaiser fee schedule · outpatient · +1 other terms	15	$39	$39	$0	1%	—	$38 – $39
16	Ambetter case rate · outpatient · +2 other terms	12	$68	$75	$8	11%	—	$68 – $85
17	Medicare case rate · outpatient · +1 other terms	8	$38	$38	—	—	—	$38 – $38
18	Optum fee schedule · outpatient	8	$39	$58	$27	48%	—	$38 – $98
19	Highmark case rate · outpatient · +1 other terms	5	$38	$38	—	—	—	$38 – $38
20	Tricare facility · fee schedule · outpatient	5	$38	$38	—	—	—	$38 – $38
21	Excellus case rate · outpatient	4	$51	$53	$19	37%	—	$38 – $85
22	Sanford Health Plan case rate · outpatient	3	$55	$55	$6	10%	—	$46 – $63
23	Aetna Better Health facility · case rate · outpatient	1	$29	$29	$9	32%	—	$20 – $38
24	Magellan fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
25	Medicaid facility · case rate · outpatient	1	$20	$20	—	—	—	$20 – $20