APC 9306

Tildrakizumab injection, per 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-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., tildrakizumab, 1 mg

Payers reporting APC 9306

Payer pricing summary

Low

$67

Average

$563

Median

$129

High

$8.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$125	$126	$4	3%	—	$118 – $141
2	Humana fee schedule · outpatient · +4 other terms	161	$124	$129	$35	27%	—	$118 – $495
3	Aetna fee schedule · outpatient · +4 other terms	155	$125	$129	$19	14%	—	$119 – $233
4	WellCare fee schedule · outpatient · +2 other terms	131	$128	$127	$6	4%	—	$122 – $163
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$126	$125	$7	6%	—	$118 – $200
6	Devoted fee schedule · outpatient · +1 other terms	122	$124	$123	$2	2%	—	$118 – $130
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$128	$125	$4	4%	—	$118 – $134
8	Molina fee schedule · outpatient · +2 other terms	69	$182	$177	$67	38%	—	$126 – $324
9	Superior Healthplan fee schedule · outpatient	40	$130	$129	$2	2%	—	$124 – $130
10	Anthem fee schedule · outpatient · +1 other terms	31	$126	$127	$4	3%	—	$124 – $136
11	Oscar fee schedule · outpatient · +1 other terms	27	$121	$136	$35	26%	—	$116 – $233
12	Amerihealth Caritas fee schedule · outpatient	17	$149	$147	$3	2%	—	$142 – $149
13	Cigna fee schedule · outpatient · +2 other terms	16	$133	$135	$14	11%	—	$126 – $187
14	Clover fee schedule · outpatient · +2 other terms	15	$124	$127	$3	2%	—	$124 – $130
15	Kaiser fee schedule · outpatient · +2 other terms	15	$126	$127	$3	3%	—	$124 – $136
16	Ambetter case rate · outpatient · +2 other terms	12	$229	$264	$41	15%	—	$229 – $312
17	Medicare case rate · outpatient · +2 other terms	8	$127	$127	—	—	—	$127 – $127
18	Optum fee schedule · outpatient · +1 other terms	8	$125	$183	$83	45%	—	$124 – $311
19	Highmark case rate · outpatient · +1 other terms	5	$127	$172	$61	35%	—	$127 – $280
20	Tricare facility · fee schedule · outpatient	5	$127	$127	—	—	—	$127 – $127
21	Excellus case rate · outpatient	4	$174	$178	$65	37%	—	$127 – $286
22	Bcbs Nj facility · other · outpatient	3	$124	$124	—	—	—	$124 – $124
23	Sanford Health Plan case rate · outpatient	3	$183	$184	$19	10%	—	$153 – $211
24	Aetna Better Health facility · case rate · outpatient	1	$98	$98	$32	32%	—	$67 – $130
25	Magellan fee schedule · outpatient	1	$124	$124	—	—	—	$124 – $124

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