APC 9355

Teprotumumab-trbw 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-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. teprotumumab-trbw 10 mg

Payers reporting APC 9355

Payer pricing summary

Low

$188

Average

$819

Median

$386

High

$8.5k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$490	$501	$183	37%	2–20	$359 – $806
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$373	$372	$8	2%	—	$328 – $388
3	Humana fee schedule · outpatient · +5 other terms	161	$369	$385	$105	27%	—	$328 – $1.5k
4	Aetna fee schedule · outpatient · +4 other terms	155	$373	$380	$41	11%	—	$328 – $607
5	WellCare fee schedule · outpatient · +2 other terms	131	$380	$385	$15	4%	—	$347 – $487
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$377	$373	$13	3%	—	$336 – $504
7	Devoted fee schedule · outpatient · +1 other terms	122	$369	$370	$3	1%	—	$368 – $388
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$384	$379	$10	3%	—	$368 – $410
9	Molina fee schedule · outpatient · +2 other terms	69	$544	$528	$203	39%	—	$347 – $968
10	Superior Healthplan fee schedule · outpatient	40	$388	$388	$2	1%	—	$386 – $399
11	Anthem fee schedule · outpatient · +1 other terms	31	$369	$368	$11	3%	—	$347 – $380
12	Oscar fee schedule · outpatient · +1 other terms	27	$362	$398	$75	19%	—	$361 – $607
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$443	$441	$4	1%	—	$433 – $443
14	Cigna fee schedule · outpatient · +2 other terms	16	$377	$375	$23	6%	—	$347 – $433
15	Clover fee schedule · outpatient · +2 other terms	15	$386	$388	$3	1%	—	$386 – $399
16	Kaiser fee schedule · outpatient · +2 other terms	15	$377	$373	$8	2%	—	$354 – $377
17	Medicare facility · fee schedule · outpatient · +2 other terms	13	$369	$372	$5	1%	—	$369 – $382
18	Ambetter case rate · outpatient · +3 other terms	12	$647	$706	$70	10%	—	$647 – $789
19	Optum fee schedule · outpatient · +1 other terms	8	$375	$556	$264	48%	—	$359 – $950
20	Highmark case rate · outpatient · +2 other terms	5	$359	$486	$172	35%	—	$359 – $788
21	Medica facility · fee schedule · outpatient	5	$384	$386	$2	0%	—	$384 – $388
22	Tricare facility · fee schedule · outpatient	5	$359	$359	—	—	—	$359 – $359
23	Bcbs Nj facility · other · outpatient	3	$369	$369	—	—	—	$369 – $369
24	Sanford Health Plan case rate · outpatient	3	$520	$524	$53	10%	—	$435 – $599
25	Aetna Better Health facility · case rate · outpatient	1	$277	$277	$89	32%	—	$188 – $366

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