APC 9390

Pertuzumab and trastuzumab, 10 mg dose

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

Pertuzu, trastuzu, 10 mg

Payers reporting APC 9390

Payer pricing summary

Low

$32

Average

$511

Median

$65

High

$7.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Excellus case rate · outpatient	4	$85	$87	$32	37%	44	$62 – $139
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$62	$62	$1	2%	—	$60 – $67
3	Humana fee schedule · outpatient · +4 other terms	161	$61	$63	$17	27%	—	$58 – $244
4	Aetna fee schedule · outpatient · +4 other terms	155	$61	$63	$9	14%	—	$59 – $112
5	WellCare fee schedule · outpatient · +2 other terms	131	$63	$63	$2	4%	—	$61 – $80
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$62	$62	$3	5%	—	$60 – $99
7	Devoted fee schedule · outpatient · +1 other terms	122	$61	$61	$0	1%	—	$60 – $64
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$63	$62	$2	3%	—	$60 – $65
9	Molina fee schedule · outpatient · +3 other terms	69	$90	$87	$33	38%	—	$62 – $160
10	Superior Healthplan fee schedule · outpatient	40	$64	$64	$0	1%	—	$63 – $64
11	Anthem fee schedule · outpatient · +1 other terms	31	$62	$62	$1	2%	—	$60 – $65
12	Oscar fee schedule · outpatient · +2 other terms	27	$60	$67	$16	24%	—	$59 – $112
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$73	$72	$2	3%	—	$68 – $73
14	Cigna fee schedule · outpatient · +2 other terms	16	$64	$66	$7	11%	—	$62 – $94
15	Clover fee schedule · outpatient · +2 other terms	15	$63	$64	$0	1%	—	$63 – $64
16	Kaiser fee schedule · outpatient · +2 other terms	15	$62	$62	$1	2%	—	$61 – $65
17	Medicare facility · fee schedule · outpatient · +2 other terms	15	$61	$283	$1.2k	438%	—	$59 – $7.2k
18	Ambetter case rate · outpatient · +3 other terms	12	$112	$127	$18	14%	—	$112 – $148
19	Optum fee schedule · outpatient · +1 other terms	8	$61	$91	$42	46%	—	$60 – $151
20	Highmark case rate · outpatient · +2 other terms	5	$62	$84	$30	35%	—	$62 – $136
21	Medica facility · fee schedule · outpatient	5	$63	$64	$0	0%	—	$63 – $64
22	Tricare facility · fee schedule · outpatient	5	$62	$62	—	—	—	$62 – $62
23	Bcbs Nj facility · other · outpatient	3	$61	$61	—	—	—	$61 – $61
24	Sanford Health Plan case rate · outpatient	3	$92	$92	$9	10%	—	$77 – $106
25	Aetna Better Health facility · case rate · outpatient	1	$48	$48	$15	32%	—	$32 – $63

Page 1 of 2 · 27 payers