APC 9131

Ado-trastuzumab emtansine 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, Ado-trastuzumab Emt 1mg

Payers reporting APC 9131

Payer pricing summary

Low

$22

Average

$394

Median

$45

High

$3.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Excellus case rate · outpatient · +1 other terms	4	$58	$59	$22	37%	106	$42 – $95
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$43	$43	$1	2%	—	$38 – $45
3	Humana fee schedule · outpatient · +5 other terms	161	$42	$44	$12	27%	—	$38 – $169
4	Aetna fee schedule · outpatient · +4 other terms	155	$43	$44	$5	11%	—	$38 – $72
5	WellCare fee schedule · outpatient · +2 other terms	131	$43	$44	$2	4%	—	$41 – $56
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$43	$43	$2	4%	—	$40 – $60
7	Devoted fee schedule · outpatient · +2 other terms	122	$42	$42	$0	1%	—	$42 – $44
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$44	$43	$1	3%	—	$42 – $47
9	Molina fee schedule · outpatient · +3 other terms	69	$62	$61	$23	38%	—	$41 – $111
10	Superior Healthplan fee schedule · outpatient	40	$44	$44	$0	1%	—	$44 – $46
11	Anthem fee schedule · outpatient · +1 other terms	31	$42	$42	$1	2%	—	$41 – $44
12	Oscar fee schedule · outpatient · +3 other terms	27	$41	$46	$9	20%	—	$41 – $72
13	Medicare facility · fee schedule · outpatient · +2 other terms	19	$42	$43	$1	2%	—	$42 – $44
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$51	$50	$0	1%	—	$50 – $51
15	Cigna fee schedule · outpatient · +4 other terms	16	$43	$43	$2	4%	—	$41 – $48
16	Clover fee schedule · outpatient · +2 other terms	15	$44	$44	$0	1%	—	$44 – $46
17	Kaiser fee schedule · outpatient · +2 other terms	15	$43	$43	$0	1%	—	$42 – $43
18	Ambetter case rate · outpatient · +4 other terms	12	$76	$83	$8	10%	—	$76 – $93
19	Optum fee schedule · outpatient · +1 other terms	8	$43	$64	$30	47%	—	$42 – $109
20	Highmark case rate · outpatient · +2 other terms	5	$42	$57	$20	35%	—	$42 – $92
21	Medica facility · fee schedule · outpatient	5	$44	$44	$0	0%	—	$44 – $44
22	Tricare facility · fee schedule · outpatient	5	$42	$42	—	—	—	$42 – $42
23	Bcbs Nj facility · other · outpatient	3	$42	$42	—	—	—	$42 – $42
24	Sanford Health Plan case rate · outpatient	3	$61	$61	$6	10%	—	$51 – $70
25	Aetna Better Health facility · case rate · outpatient	1	$33	$33	$10	32%	—	$22 – $43

Page 1 of 2 · 27 payers