APC 9414

Cabotegravir and rilpivirine 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, cabote rilpivir 2mg 3mg

Payers reporting APC 9414

Payer pricing summary

Low

$12

Average

$217

Median

$25

High

$3.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Excellus case rate · outpatient	4	$32	$33	$12	37%	202	$24 – $53
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$24	$24	$0	2%	—	$23 – $25
3	Humana fee schedule · outpatient · +4 other terms	161	$24	$25	$7	27%	—	$23 – $97
4	Aetna fee schedule · outpatient · +5 other terms	155	$24	$25	$3	11%	—	$23 – $41
5	WellCare fee schedule · outpatient · +2 other terms	131	$25	$25	$1	4%	—	$23 – $32
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$25	$24	$1	4%	—	$23 – $34
7	Devoted fee schedule · outpatient · +2 other terms	122	$24	$24	$0	1%	—	$24 – $25
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$25	$25	$1	3%	—	$24 – $27
9	Molina fee schedule · outpatient · +4 other terms	69	$36	$35	$13	38%	—	$23 – $63
10	Superior Healthplan fee schedule · outpatient	40	$25	$25	$0	0%	—	$25 – $26
11	Anthem fee schedule · outpatient · +2 other terms	31	$24	$24	$1	2%	—	$23 – $25
12	Oscar fee schedule · outpatient · +2 other terms	27	$24	$26	$5	20%	—	$24 – $41
13	Amerihealth Caritas fee schedule · outpatient	17	$29	$29	$0	1%	—	$28 – $29
14	Cigna fee schedule · outpatient · +3 other terms	16	$25	$25	$1	5%	—	$23 – $28
15	Clover fee schedule · outpatient · +2 other terms	15	$25	$25	$0	1%	—	$25 – $26
16	Kaiser fee schedule · outpatient · +2 other terms	15	$25	$24	$0	1%	—	$24 – $25
17	Ambetter case rate · outpatient · +2 other terms	12	$43	$47	$5	11%	—	$43 – $53
18	Medicare facility · fee schedule · outpatient · +2 other terms	10	$24	$24	$0	1%	—	$24 – $25
19	Optum fee schedule · outpatient · +2 other terms	8	$24	$36	$17	48%	—	$24 – $62
20	Highmark case rate · outpatient · +1 other terms	5	$24	$32	$11	35%	—	$24 – $52
21	Tricare facility · fee schedule · outpatient	5	$24	$24	—	—	—	$24 – $24
22	Bcbs Nj facility · other · outpatient	3	$24	$24	—	—	—	$24 – $24
23	Sanford Health Plan case rate · outpatient	3	$34	$34	$3	10%	—	$29 – $39
24	Aetna Better Health facility · case rate · outpatient	1	$18	$18	$6	32%	—	$12 – $24
25	Magellan fee schedule · outpatient	1	$24	$24	—	—	—	$24 – $24

Page 1 of 2 · 26 payers