APC 9115

Spesolimab-sbzo injection, 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-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, spesolimab-sbzo, 1 mg

Payers reporting APC 9115

Payer pricing summary

Low

$34

Average

$1.4k

Median

$69

High

$24.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$66	$66	$1	2%	—	$60 – $69
2	Humana fee schedule · outpatient · +4 other terms	161	$66	$68	$19	28%	—	$60 – $263
3	Aetna fee schedule · outpatient · +4 other terms	155	$66	$67	$7	11%	—	$60 – $108
4	WellCare fee schedule · outpatient · +2 other terms	131	$68	$68	$2	4%	—	$61 – $87
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$66	$66	$2	3%	—	$61 – $92
6	Devoted fee schedule · outpatient · +1 other terms	122	$66	$66	$0	0%	—	$66 – $69
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$68	$67	$2	3%	—	$66 – $71
8	Molina fee schedule · outpatient · +2 other terms	69	$97	$94	$36	39%	—	$61 – $172
9	Superior Healthplan fee schedule · outpatient	40	$69	$69	—	—	—	$69 – $69
10	Anthem fee schedule · outpatient · +1 other terms	31	$66	$65	$2	3%	—	$61 – $68
11	Oscar fee schedule · outpatient · +1 other terms	27	$64	$71	$13	18%	—	$64 – $108
12	Amerihealth Caritas fee schedule · outpatient	17	$79	$78	$2	2%	—	$75 – $79
13	Cigna fee schedule · outpatient · +2 other terms	15	$67	$66	$3	5%	—	$61 – $71
14	Clover fee schedule · outpatient · +2 other terms	15	$69	$69	—	—	—	$69 – $69
15	Kaiser fee schedule · outpatient · +2 other terms	15	$67	$66	$1	2%	—	$63 – $67
16	Ambetter case rate · outpatient · +2 other terms	12	$118	$128	$11	9%	—	$118 – $141
17	Medicare case rate · outpatient · +1 other terms	8	$66	$66	—	—	—	$66 – $66
18	Optum fee schedule · outpatient · +1 other terms	8	$66	$99	$46	47%	—	$66 – $164
19	Highmark case rate · outpatient · +1 other terms	5	$66	$66	—	—	—	$66 – $66
20	Tricare facility · fee schedule · outpatient	5	$66	$66	—	—	—	$66 – $66
21	Excellus case rate · outpatient	4	$90	$92	$34	37%	—	$66 – $148
22	Bcbs Nj facility · other · outpatient	3	$66	$66	—	—	—	$66 – $66
23	Sanford Health Plan case rate · outpatient	3	$95	$96	$10	10%	—	$80 – $110
24	Aetna Better Health facility · case rate · outpatient	1	$51	$51	$16	32%	—	$34 – $67
25	Magellan fee schedule · outpatient	1	$66	$66	—	—	—	$66 – $66

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