APC 9149

Ublituximab-xiiy (Briumvi) infusion, per 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj ublituximab-xiiy, 1 mg

Payers reporting APC 9149

Payer pricing summary

Low

$37

Average

$338

Median

$74

High

$5.0k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$97	$99	$36	37%	95–104	$71 – $159
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$71	$71	$1	1%	—	$68 – $74
3	Humana fee schedule · outpatient · +5 other terms	161	$70	$73	$20	27%	—	$68 – $281
4	Aetna fee schedule · outpatient · +4 other terms	155	$71	$73	$9	12%	—	$68 – $121
5	WellCare fee schedule · outpatient · +2 other terms	131	$72	$73	$3	4%	—	$69 – $93
6	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$72	$71	$3	4%	—	$69 – $105
7	Devoted fee schedule · outpatient · +1 other terms	122	$70	$70	$1	1%	—	$69 – $74
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$73	$72	$2	3%	—	$69 – $78
9	Molina fee schedule · outpatient · +2 other terms	69	$103	$100	$38	38%	—	$69 – $184
10	Superior Healthplan fee schedule · outpatient	40	$74	$74	$1	1%	—	$72 – $76
11	Anthem fee schedule · outpatient · +1 other terms	31	$70	$71	$1	2%	—	$69 – $72
12	Oscar fee schedule · outpatient · +1 other terms	27	$69	$76	$16	21%	—	$67 – $121
13	Amerihealth Caritas fee schedule · outpatient	17	$84	$84	$1	1%	—	$82 – $84
14	Cigna fee schedule · outpatient · +3 other terms	15	$72	$72	$2	3%	—	$69 – $76
15	Clover fee schedule · outpatient · +2 other terms	15	$72	$73	$1	1%	—	$72 – $76
16	Kaiser fee schedule · outpatient · +2 other terms	15	$72	$71	$0	1%	—	$70 – $72
17	Ambetter case rate · outpatient · +2 other terms	12	$127	$141	$16	11%	—	$127 – $159
18	Medicare case rate · outpatient · +1 other terms	8	$71	$71	—	—	—	$71 – $71
19	Optum fee schedule · outpatient · +1 other terms	8	$71	$105	$49	47%	—	$70 – $181
20	Highmark case rate · outpatient · +1 other terms	5	$71	$71	—	—	—	$71 – $71
21	Tricare facility · fee schedule · outpatient	5	$71	$71	—	—	—	$71 – $71
22	Bcbs Nj facility · other · outpatient	3	$70	$70	—	—	—	$70 – $70
23	Sanford Health Plan case rate · outpatient	3	$104	$105	$11	10%	—	$87 – $120
24	Medica facility · fee schedule · outpatient	2	$74	$74	—	—	—	$74 – $74
25	Aetna Better Health facility · case rate · outpatient	1	$55	$55	$18	32%	—	$37 – $72

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