APC 9250

Injection, epcoritamab-bysp

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 epcoritamab-bysp 0.16 mg

Payers reporting APC 9250

Payer pricing summary

Low

$29

Average

$294

Median

$60

High

$4.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Excellus case rate · outpatient	4	$76	$78	$29	37%	34	$56 – $125
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$57	$57	$1	1%	—	$54 – $60
3	Humana fee schedule · outpatient · +5 other terms	161	$57	$59	$16	27%	—	$54 – $227
4	Aetna fee schedule · outpatient · +4 other terms	155	$57	$59	$7	11%	—	$54 – $97
5	WellCare fee schedule · outpatient · +2 other terms	131	$59	$59	$2	4%	—	$55 – $75
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$58	$57	$2	4%	—	$54 – $82
7	Devoted fee schedule · outpatient · +1 other terms	122	$57	$57	$0	1%	—	$57 – $60
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$59	$58	$2	3%	—	$57 – $63
9	Molina fee schedule · outpatient · +3 other terms	69	$84	$81	$31	38%	—	$55 – $149
10	Superior Healthplan fee schedule · outpatient	40	$60	$60	$0	0%	—	$60 – $61
11	Anthem fee schedule · outpatient · +1 other terms	31	$57	$57	$1	2%	—	$55 – $59
12	Oscar fee schedule · outpatient · +2 other terms	27	$56	$62	$13	20%	—	$56 – $97
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$68	$68	$1	1%	—	$66 – $68
14	Cigna fee schedule · outpatient · +2 other terms	15	$58	$58	$2	4%	—	$55 – $61
15	Clover fee schedule · outpatient · +2 other terms	15	$60	$60	$0	1%	—	$60 – $61
16	Kaiser fee schedule · outpatient · +2 other terms	15	$58	$58	$1	1%	—	$56 – $58
17	Ambetter case rate · outpatient · +2 other terms	12	$101	$110	$12	11%	—	$101 – $124
18	Medicare facility · fee schedule · outpatient · +1 other terms	9	$57	$57	$1	1%	—	$57 – $58
19	Optum fee schedule · outpatient · +1 other terms	8	$57	$86	$41	48%	—	$56 – $145
20	Highmark case rate · outpatient · +2 other terms	5	$56	$56	—	—	—	$56 – $56
21	Tricare facility · fee schedule · outpatient	5	$56	$56	—	—	—	$56 – $56
22	Bcbs Nj facility · other · outpatient	3	$57	$57	—	—	—	$57 – $57
23	Sanford Health Plan case rate · outpatient	3	$81	$81	$8	10%	—	$67 – $93
24	Medica facility · fee schedule · outpatient	2	$60	$60	—	—	—	$60 – $60
25	Aetna Better Health facility · case rate · outpatient	1	$43	$43	$14	32%	—	$29 – $57

Page 1 of 2 · 27 payers