APC 921

Tysabri biosimilar (Tyruko) injection, 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, tyruko, 1 mg

Payers reporting APC 921

Payer pricing summary

Low

$18

Average

$26

Median

$25

High

$38

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	153	$25	$25	$0	1%	—	$24 – $26
2	Humana fee schedule · outpatient	148	$24	$25	$7	28%	—	$24 – $98
3	Aetna fee schedule · outpatient	135	$25	$25	$0	1%	—	$24 – $27
4	WellCare fee schedule · outpatient	127	$25	$25	$1	4%	—	$24 – $32
5	Devoted fee schedule · outpatient	122	$24	$24	$0	0%	—	$24 – $26
6	Cigna Healthspring fee schedule · outpatient	110	$25	$25	$1	3%	—	$24 – $26
7	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	105	$25	$25	$0	1%	—	$24 – $25
8	Molina fee schedule · outpatient	55	$36	$36	$14	39%	—	$25 – $64
9	Superior Healthplan fee schedule · outpatient	40	$26	$26	$0	0%	—	$26 – $26
10	Anthem fee schedule · outpatient	24	$24	$25	$0	1%	—	$24 – $25
11	Oscar fee schedule · outpatient	24	$24	$25	$1	3%	—	$24 – $26
12	Amerihealth Caritas fee schedule · outpatient	17	$29	$29	$1	2%	—	$28 – $29
13	Clover fee schedule · outpatient	15	$26	$26	$0	0%	—	$26 – $26
14	Kaiser fee schedule · outpatient	13	$25	$25	$0	1%	—	$24 – $25
15	Cigna fee schedule · outpatient	9	$25	$25	$1	3%	—	$25 – $26
16	Optum fee schedule · outpatient	8	$24	$38	$18	46%	—	$24 – $61
17	Ambetter fee schedule · outpatient	1	$18	$18	$2	10%	—	$16 – $20
18	Magellan fee schedule · outpatient	1	$24	$24	—	—	—	$24 – $24
19	Medicare facility · fee schedule · outpatient	1	$24	$24	—	—	—	$24 – $24