APC 9280

Retifanlimab injection, one dose

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, retifanlimab-dlwr, 1 mg

Payers reporting APC 9280

Payer pricing summary

Low

$16

Average

$295

Median

$32

High

$7.1k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$42	$43	$16	37%	32	$31 – $69
2	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$31	$31	$0	1%	—	$29 – $32
3	Humana fee schedule · outpatient · +4 other terms	161	$31	$32	$9	27%	—	$29 – $122
4	Aetna fee schedule · outpatient · +4 other terms	155	$31	$31	$4	11%	—	$29 – $51
5	WellCare fee schedule · outpatient · +2 other terms	131	$31	$32	$1	4%	—	$29 – $40
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$31	$31	$1	4%	—	$29 – $44
7	Devoted fee schedule · outpatient · +1 other terms	122	$31	$31	$0	1%	—	$30 – $32
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$32	$31	$1	3%	—	$30 – $33
9	Molina fee schedule · outpatient · +2 other terms	69	$45	$44	$17	39%	—	$29 – $80
10	Superior Healthplan fee schedule · outpatient	40	$32	$32	$0	0%	—	$32 – $33
11	Anthem fee schedule · outpatient · +1 other terms	31	$31	$31	$1	2%	—	$29 – $31
12	Oscar fee schedule · outpatient · +1 other terms	27	$30	$33	$6	20%	—	$30 – $51
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$37	$36	$1	1%	—	$35 – $37
14	Cigna fee schedule · outpatient · +1 other terms	15	$31	$31	$1	4%	—	$29 – $33
15	Clover fee schedule · outpatient · +2 other terms	15	$32	$32	$0	0%	—	$32 – $33
16	Kaiser fee schedule · outpatient · +2 other terms	15	$31	$31	$0	1%	—	$30 – $31
17	Ambetter case rate · outpatient · +2 other terms	12	$55	$60	$6	10%	—	$55 – $67
18	Medicare case rate · outpatient · +1 other terms	8	$31	$31	—	—	—	$31 – $31
19	Optum fee schedule · outpatient · +1 other terms	8	$31	$46	$22	47%	—	$31 – $77
20	Highmark case rate · outpatient · +2 other terms	5	$31	$31	—	—	—	$31 – $31
21	Tricare facility · fee schedule · outpatient	5	$31	$31	—	—	—	$31 – $31
22	Sanford Health Plan case rate · outpatient	3	$43	$44	$4	10%	—	$36 – $50
23	Medica facility · fee schedule · outpatient	2	$32	$32	—	—	—	$32 – $32
24	Aetna Better Health facility · case rate · outpatient	1	$24	$24	$8	32%	—	$16 – $31
25	Bcbs Nj facility · other · outpatient	1	$31	$31	—	—	—	$31 – $31

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