APC 9349

Herzuma injection, 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-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 herzuma 10 mg

Payers reporting APC 9349

Payer pricing summary

Low

$36

Average

$164

Median

$64

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$56	$57	$5	9%	—	$40 – $76
2	Humana fee schedule · outpatient · +4 other terms	161	$55	$58	$16	28%	—	$40 – $222
3	Aetna fee schedule · outpatient · +4 other terms	155	$56	$60	$13	21%	—	$40 – $126
4	WellCare fee schedule · outpatient · +2 other terms	131	$57	$58	$3	5%	—	$55 – $76
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$57	$58	$6	10%	—	$54 – $94
6	Devoted fee schedule · outpatient · +1 other terms	122	$55	$56	$0	1%	—	$55 – $58
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$58	$56	$2	3%	—	$55 – $60
8	Molina fee schedule · outpatient · +3 other terms	69	$82	$82	$30	37%	—	$57 – $145
9	Superior Healthplan fee schedule · outpatient	40	$58	$58	$0	0%	—	$58 – $59
10	Anthem fee schedule · outpatient · +1 other terms	31	$57	$59	$7	11%	—	$55 – $73
11	Oscar fee schedule · outpatient · +2 other terms	27	$55	$64	$22	35%	—	$54 – $126
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$67	$66	$1	2%	—	$63 – $67
13	Cigna fee schedule · outpatient · +2 other terms	16	$60	$64	$8	12%	—	$57 – $75
14	Clover fee schedule · outpatient · +2 other terms	15	$59	$59	$0	1%	—	$58 – $59
15	Kaiser fee schedule · outpatient · +2 other terms	15	$57	$59	$6	10%	—	$55 – $73
16	Ambetter case rate · outpatient · +3 other terms	12	$125	$131	$7	5%	—	$125 – $139
17	Medicare facility · fee schedule · outpatient · +2 other terms	10	$55	$206	$510	247%	—	$55 – $2.3k
18	Optum fee schedule · outpatient · +1 other terms	8	$59	$85	$39	46%	—	$55 – $140
19	Highmark case rate · outpatient · +2 other terms	5	$69	$94	$33	35%	—	$69 – $152
20	Tricare facility · fee schedule · outpatient	5	$69	$69	—	—	—	$69 – $69
21	Excellus case rate · outpatient	4	$95	$97	$35	37%	—	$69 – $156
22	Bcbs Nj facility · other · outpatient	3	$55	$55	—	—	—	$55 – $55
23	Sanford Health Plan case rate · outpatient	3	$112	$113	$11	10%	—	$94 – $129
24	Aetna Better Health facility · case rate · outpatient	1	$54	$54	$17	32%	—	$36 – $71
25	Magellan fee schedule · outpatient	1	$55	$55	—	—	—	$55 – $55

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