APC 9312

Ravulizumab injection (Ultomiris), 10 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., ravulizumab-cwvz 10 mg

Payers reporting APC 9312

Payer pricing summary

Low

$118

Average

$1.5k

Median

$264

High

$10.4k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$307	$314	$115	37%	50	$225 – $505
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$227	$227	$3	1%	—	$221 – $236
3	Humana fee schedule · outpatient · +5 other terms	161	$225	$234	$64	27%	—	$218 – $899
4	Aetna fee schedule · outpatient · +4 other terms	155	$227	$232	$27	12%	—	$221 – $386
5	WellCare fee schedule · outpatient · +2 other terms	131	$232	$234	$8	4%	—	$221 – $297
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$227	$228	$9	4%	—	$220 – $332
7	Devoted fee schedule · outpatient · +2 other terms	122	$225	$225	$1	0%	—	$224 – $236
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$234	$229	$6	3%	—	$224 – $245
9	Molina fee schedule · outpatient · +3 other terms	69	$331	$322	$123	38%	—	$221 – $589
10	Superior Healthplan fee schedule · outpatient	40	$236	$236	$1	0%	—	$235 – $238
11	Anthem fee schedule · outpatient · +2 other terms	31	$225	$226	$4	2%	—	$221 – $232
12	Oscar fee schedule · outpatient · +2 other terms	27	$220	$244	$51	21%	—	$219 – $386
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$270	$268	$4	2%	—	$259 – $270
14	Cigna fee schedule · outpatient · +4 other terms	16	$229	$234	$19	8%	—	$221 – $300
15	Clover fee schedule · outpatient · +2 other terms	15	$235	$236	$1	0%	—	$235 – $238
16	Kaiser fee schedule · outpatient · +2 other terms	15	$229	$228	$2	1%	—	$225 – $229
17	Medicare facility · fee schedule · outpatient · +2 other terms	13	$225	$953	$4.2k	438%	—	$225 – $25.0k
18	Ambetter case rate · outpatient · +3 other terms	12	$405	$447	$50	11%	—	$405 – $507
19	Optum fee schedule · outpatient · +2 other terms	8	$226	$337	$159	47%	—	$225 – $567
20	Highmark case rate · outpatient · +2 other terms	5	$225	$304	$108	35%	—	$225 – $494
21	Tricare facility · fee schedule · outpatient	5	$225	$225	—	—	—	$225 – $225
22	Bcbs Nj facility · other · outpatient	3	$225	$225	—	—	—	$225 – $225
23	Sanford Health Plan case rate · outpatient	3	$326	$329	$33	10%	—	$273 – $376
24	Medica facility · fee schedule · outpatient	2	$236	$236	—	—	—	$236 – $236
25	Aetna Better Health facility · case rate · outpatient	1	$174	$174	$56	32%	—	$118 – $230

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