APC 9126

Natalizumab 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.

Generation details were not recorded for this description.

Original text from hospital filings

Payers reporting APC 9126

Payer pricing summary

Low

Average

$201

Median

$26

High

$2.5k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$33	$33	$12	37%	825	$24 – $54
2	Highmark case rate · outpatient · +2 other terms	5	$24	$32	$11	35%	50	$24 – $53
3	Medical Mutual facility · other · outpatient	1	$6	$6	—	—	1–10	$6 – $6
4	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$25	$25	$0	1%	—	$24 – $26
5	Humana fee schedule · outpatient · +5 other terms	161	$25	$25	$7	28%	—	$23 – $98
6	Aetna fee schedule · outpatient · +5 other terms	155	$25	$25	$3	12%	—	$24 – $42
7	WellCare fee schedule · outpatient · +2 other terms	131	$25	$25	$1	4%	—	$24 – $32
8	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$25	$25	$1	4%	—	$24 – $36
9	Devoted fee schedule · outpatient · +2 other terms	122	$25	$24	$0	0%	—	$24 – $26
10	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$25	$25	$1	3%	—	$24 – $26
11	Molina fee schedule · outpatient · +3 other terms	69	$36	$35	$13	39%	—	$24 – $64
12	Superior Healthplan fee schedule · outpatient	40	$26	$26	$0	0%	—	$26 – $26
13	Anthem fee schedule · outpatient · +2 other terms	31	$25	$25	$0	2%	—	$24 – $25
14	Oscar fee schedule · outpatient · +3 other terms	27	$24	$27	$5	21%	—	$24 – $42
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$29	$29	$1	2%	—	$28 – $29
16	Cigna fee schedule · outpatient · +2 other terms	16	$25	$25	$2	7%	—	$24 – $32
17	Medicare facility · fee schedule · outpatient · +2 other terms	16	$25	$328	$1.5k	444%	—	$24 – $7.3k
18	Clover fee schedule · outpatient · +3 other terms	15	$26	$26	$0	0%	—	$26 – $26
19	Kaiser fee schedule · outpatient · +2 other terms	15	$25	$25	$0	1%	—	$24 – $25
20	Ambetter case rate · outpatient · +3 other terms	12	$43	$48	$6	12%	—	$43 – $55
21	Optum fee schedule · outpatient · +3 other terms	8	$25	$37	$17	47%	—	$24 – $61
22	Tricare facility · fee schedule · outpatient	5	$24	$24	—	—	—	$24 – $24
23	Bcbs Nj facility · other · outpatient	3	$25	$25	—	—	—	$25 – $25
24	Medica facility · fee schedule · outpatient	3	$25	$25	—	—	—	$25 – $25
25	Sanford Health Plan case rate · outpatient	3	$35	$35	$4	10%	—	$29 – $40

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