APC 919

Zymfentra injection, 10 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, zymfentra, 10 mg

Payers reporting APC 919

Payer pricing summary

Low

$72

Average

$113

Median

$102

High

$198

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +1 other terms	125	$100	$105	$34	32%	—	$99 – $399
2	UnitedHealthcare fee schedule · outpatient · +1 other terms	119	$101	$101	$1	1%	—	$99 – $105
3	Aetna fee schedule · outpatient · +1 other terms	105	$101	$101	$2	2%	—	$100 – $110
4	Devoted fee schedule · outpatient	95	$100	$100	$0	0%	—	$100 – $105
5	WellCare fee schedule · outpatient · +1 other terms	95	$103	$104	$5	5%	—	$100 – $132
6	Cigna Healthspring fee schedule · outpatient	91	$104	$103	$3	3%	—	$100 – $107
7	Blue Cross Blue Shield fee schedule · outpatient	81	$102	$101	$1	1%	—	$98 – $104
8	Molina fee schedule · outpatient	32	$147	$152	$65	43%	—	$102 – $261
9	Superior Healthplan fee schedule · outpatient	25	$105	$105	—	—	—	$105 – $105
10	Anthem fee schedule · outpatient	23	$100	$101	$1	1%	—	$100 – $103
11	Oscar fee schedule · outpatient	18	$105	$102	$3	3%	—	$98 – $105
12	Amerihealth Caritas fee schedule · outpatient	14	$120	$120	—	—	—	$120 – $120
13	Kaiser fee schedule · outpatient	13	$102	$102	$1	1%	—	$100 – $102
14	Cigna fee schedule · outpatient · +1 other terms	9	$102	$104	$3	3%	—	$102 – $108
15	Clover fee schedule · outpatient	6	$105	$105	—	—	—	$105 – $105
16	Optum fee schedule · outpatient	4	$100	$100	—	—	—	$100 – $100
17	Highmark case rate · outpatient	3	$154	$147	$50	34%	—	$100 – $219
18	Excellus case rate · outpatient	2	$198	$198	$26	13%	—	$173 – $224
19	Ambetter fee schedule · outpatient	1	$72	$72	$7	10%	—	$65 – $80
20	Magellan fee schedule · outpatient	1	$100	$100	—	—	—	$100 – $100