APC 9314

Herceptin Hylecta 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. herceptin hylecta, 10mg

Payers reporting APC 9314

Payer pricing summary

Low

$32

Average

$174

Median

$64

High

$2.2k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$84	$86	$31	37%	3–30	$61 – $138
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$62	$62	$1	2%	—	$58 – $66
3	Humana fee schedule · outpatient · +4 other terms	161	$61	$63	$18	28%	—	$56 – $244
4	Aetna fee schedule · outpatient · +4 other terms	155	$62	$63	$8	13%	—	$58 – $110
5	WellCare fee schedule · outpatient · +2 other terms	131	$63	$63	$2	4%	—	$60 – $81
6	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$61	$62	$3	5%	—	$58 – $97
7	Devoted fee schedule · outpatient · +2 other terms	122	$61	$61	$1	1%	—	$58 – $64
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$63	$61	$2	4%	—	$58 – $65
9	Molina fee schedule · outpatient · +3 other terms	69	$90	$87	$34	39%	—	$62 – $160
10	Superior Healthplan fee schedule · outpatient	40	$64	$64	$1	1%	—	$61 – $64
11	Anthem fee schedule · outpatient · +1 other terms	31	$62	$62	$1	2%	—	$58 – $64
12	Oscar fee schedule · outpatient · +2 other terms	27	$60	$67	$15	23%	—	$59 – $110
13	Amerihealth Caritas fee schedule · outpatient	17	$73	$72	$3	4%	—	$67 – $73
14	Cigna fee schedule · outpatient · +2 other terms	16	$63	$65	$7	10%	—	$62 – $91
15	Clover fee schedule · outpatient · +2 other terms	15	$63	$63	$1	1%	—	$61 – $64
16	Kaiser fee schedule · outpatient · +2 other terms	15	$62	$62	$1	1%	—	$61 – $64
17	Ambetter case rate · outpatient · +2 other terms	12	$111	$126	$18	14%	—	$111 – $146
18	Medicare facility · fee schedule · outpatient · +2 other terms	11	$61	$60	$1	2%	—	$58 – $61
19	Optum fee schedule · outpatient · +1 other terms	8	$61	$90	$41	46%	—	$58 – $150
20	Highmark case rate · outpatient · +1 other terms	5	$61	$83	$29	35%	—	$61 – $135
21	Tricare facility · fee schedule · outpatient	5	$61	$61	—	—	—	$61 – $61
22	Bcbs Nj facility · other · outpatient	3	$61	$61	—	—	—	$61 – $61
23	Medica facility · fee schedule · outpatient	3	$64	$64	—	—	—	$64 – $64
24	Sanford Health Plan case rate · outpatient	3	$91	$92	$9	10%	—	$76 – $105
25	Aetna Better Health facility · case rate · outpatient	1	$47	$47	$15	32%	—	$32 – $63

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