APC 9120

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

Injection, Fulvestrant

Payers reporting APC 9120

Payer pricing summary

Low

Average

$308

Median

$44

High

$1.7k

Payer rate distribution

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#
1	Excellus facility · other · outpatient	1	$74	$74	—	—	1–10	$74 – $74
2	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	22	$7	$7	$1	19%	—	$7 – $13
3	UnitedHealthcare fee schedule · outpatient · +5 other terms	21	$7	$7	$0	5%	—	$7 – $8
4	Aetna fee schedule · outpatient · +4 other terms	20	$7	$8	$2	26%	—	$7 – $12
5	Humana case rate · outpatient · +4 other terms	14	$7	$8	$1	8%	—	$7 – $8
6	Molina fee schedule · outpatient · +2 other terms	14	$7	$7	$1	14%	—	$7 – $10
7	Ambetter case rate · outpatient · +3 other terms	12	$12	$14	$3	18%	—	$12 – $17
8	Clover case rate · outpatient · +1 other terms	12	$7	$8	$1	9%	—	$7 – $8
9	WellCare case rate · outpatient · +2 other terms	12	$7	$8	$1	10%	—	$7 – $9
10	Medicare case rate · outpatient · +1 other terms	8	$7	$7	—	—	—	$7 – $7
11	Anthem fee schedule · outpatient · +1 other terms	7	$7	$7	$0	1%	—	$7 – $7
12	Cigna fee schedule · outpatient · +2 other terms	7	$7	$8	$3	36%	—	$7 – $15
13	Tricare facility · fee schedule · outpatient	5	$7	$7	—	—	—	$7 – $7
14	Oscar fee schedule · outpatient · +1 other terms	3	$12	$12	$0	1%	—	$12 – $12
15	Sanford Health Plan case rate · outpatient	3	$10	$10	$1	10%	—	$8 – $12
16	Devoted facility · other · outpatient	2	$513	$504	$513	102%	—	$72 – $1.4k
17	Kaiser fee schedule · outpatient · +1 other terms	2	$7	$7	—	—	—	$7 – $7
18	Aetna Better Health facility · case rate · outpatient	1	$5	$5	$2	32%	—	$4 – $7
19	Bcbs Nj facility · other · outpatient	1	$1.7k	$1.7k	$1.4k	79%	—	$180 – $3.5k
20	Highmark facility · other · outpatient	1	$1.1k	$1.1k	$1.2k	110%	—	$45 – $3.5k
21	Medicaid facility · case rate · outpatient	1	$4	$4	—	—	—	$4 – $4
22	Optum fee schedule · outpatient · +1 other terms	1	$7	$7	—	—	—	$7 – $7