APC 9304

Cemiplimab injection

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., cemiplimab-rwlc, 1 mg

Payers reporting APC 9304

Payer pricing summary

Low

$15

Average

$346

Median

$34

High

$4.7k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$40	$41	$15	37%	22	$29 – $66
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$29	$29	$1	2%	—	$27 – $30
3	Humana fee schedule · outpatient · +5 other terms	161	$29	$30	$8	27%	—	$27 – $115
4	Aetna fee schedule · outpatient · +4 other terms	155	$29	$30	$3	12%	—	$27 – $49
5	WellCare fee schedule · outpatient · +2 other terms	131	$30	$30	$1	4%	—	$28 – $38
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$29	$29	$1	4%	—	$28 – $42
7	Devoted fee schedule · outpatient · +2 other terms	122	$29	$29	$0	2%	—	$29 – $30
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$30	$30	$1	3%	—	$29 – $32
9	Molina fee schedule · outpatient · +3 other terms	69	$42	$41	$16	38%	—	$28 – $75
10	Superior Healthplan fee schedule · outpatient	40	$30	$30	$0	2%	—	$30 – $31
11	Anthem fee schedule · outpatient · +1 other terms	31	$29	$29	$0	2%	—	$28 – $30
12	Oscar fee schedule · outpatient · +2 other terms	27	$29	$31	$6	20%	—	$28 – $49
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$34	$34	$0	1%	—	$34 – $34
14	Cigna fee schedule · outpatient · +2 other terms	16	$29	$30	$2	7%	—	$28 – $37
15	Clover fee schedule · outpatient · +3 other terms	15	$31	$31	$1	2%	—	$30 – $31
16	Kaiser fee schedule · outpatient · +2 other terms	15	$29	$29	$0	1%	—	$29 – $29
17	Medicare facility · fee schedule · outpatient · +2 other terms	13	$29	$769	$2.7k	347%	—	$29 – $10.4k
18	Ambetter case rate · outpatient · +3 other terms	12	$53	$58	$6	10%	—	$53 – $65
19	Optum fee schedule · outpatient · +2 other terms	8	$29	$44	$21	49%	—	$29 – $74
20	Highmark case rate · outpatient · +2 other terms	5	$29	$40	$14	35%	—	$29 – $64
21	Tricare facility · fee schedule · outpatient	5	$29	$29	—	—	—	$29 – $29
22	Bcbs Nj facility · other · outpatient	3	$29	$29	—	—	—	$29 – $29
23	Sanford Health Plan case rate · outpatient	3	$42	$42	$4	10%	—	$35 – $48
24	Medica facility · fee schedule · outpatient	2	$30	$30	—	—	—	$30 – $30
25	Aetna Better Health facility · case rate · outpatient	1	$23	$23	$7	32%	—	$15 – $30

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