APC 9353

Fam-trastuzumab deruxtecan-nxki 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 fam-trastu deru-nxki 1mg

Payers reporting APC 9353

Payer pricing summary

Low

$16

Average

$268

Median

$33

High

$2.5k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$41	$42	$15	37%	282	$30 – $67
2	Highmark case rate · outpatient · +2 other terms	5	$30	$41	$14	35%	1–10	$30 – $66
3	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$32	$32	$1	3%	—	$27 – $34
4	Humana fee schedule · outpatient · +4 other terms	161	$31	$33	$9	27%	—	$27 – $125
5	Aetna fee schedule · outpatient · +5 other terms	155	$32	$32	$3	10%	—	$27 – $50
6	WellCare fee schedule · outpatient · +2 other terms	131	$32	$33	$1	5%	—	$29 – $41
7	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$32	$32	$1	4%	—	$28 – $42
8	Devoted fee schedule · outpatient · +2 other terms	122	$31	$31	$0	1%	—	$31 – $33
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$33	$32	$1	3%	—	$31 – $36
10	Molina fee schedule · outpatient · +4 other terms	69	$46	$45	$17	39%	—	$29 – $82
11	Superior Healthplan fee schedule · outpatient	40	$33	$33	$0	1%	—	$33 – $35
12	Anthem fee schedule · outpatient · +1 other terms	31	$31	$31	$1	4%	—	$29 – $33
13	Oscar fee schedule · outpatient · +2 other terms	27	$31	$34	$6	18%	—	$31 – $50
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$38	$38	$0	0%	—	$37 – $38
15	Cigna fee schedule · outpatient · +3 other terms	16	$32	$31	$2	6%	—	$29 – $34
16	Clover fee schedule · outpatient · +2 other terms	15	$33	$33	$0	1%	—	$33 – $35
17	Kaiser fee schedule · outpatient · +2 other terms	15	$32	$32	$1	3%	—	$29 – $32
18	Medicare facility · fee schedule · outpatient · +2 other terms	14	$31	$249	$812	326%	—	$31 – $3.3k
19	Ambetter case rate · outpatient · +3 other terms	12	$54	$58	$5	8%	—	$54 – $64
20	Optum fee schedule · outpatient · +1 other terms	8	$32	$47	$23	48%	—	$30 – $82
21	Tricare facility · fee schedule · outpatient	5	$30	$30	—	—	—	$30 – $30
22	Bcbs Nj facility · other · outpatient	3	$31	$31	—	—	—	$31 – $31
23	Medica facility · fee schedule · outpatient	3	$33	$33	—	—	—	$33 – $33
24	Sanford Health Plan case rate · outpatient	3	$43	$44	$4	10%	—	$36 – $50
25	Aetna Better Health facility · case rate · outpatient	1	$23	$23	$7	32%	—	$16 – $31

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