APC 9418

Margetuximab-cmkb injection, 5 units

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. margetuximab-cmkb, 5 mg

Payers reporting APC 9418

Payer pricing summary

Low

$27

Average

$120

Median

$56

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$54	$54	$2	3%	—	$47 – $58
2	Humana fee schedule · outpatient · +4 other terms	161	$54	$56	$15	27%	—	$47 – $215
3	Aetna fee schedule · outpatient · +4 other terms	155	$54	$55	$6	10%	—	$47 – $86
4	WellCare fee schedule · outpatient · +2 other terms	131	$55	$56	$3	5%	—	$49 – $71
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$55	$54	$2	4%	—	$48 – $72
6	Devoted fee schedule · outpatient · +1 other terms	122	$54	$54	$1	1%	—	$53 – $56
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$56	$55	$2	3%	—	$53 – $61
8	Molina fee schedule · outpatient · +2 other terms	69	$79	$77	$30	39%	—	$49 – $141
9	Superior Healthplan fee schedule · outpatient	40	$56	$56	$1	1%	—	$56 – $59
10	Anthem fee schedule · outpatient · +1 other terms	31	$54	$53	$2	4%	—	$49 – $56
11	Oscar fee schedule · outpatient · +1 other terms	27	$53	$58	$10	18%	—	$52 – $86
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$65	$64	$0	0%	—	$64 – $65
13	Cigna fee schedule · outpatient · +2 other terms	16	$55	$54	$3	6%	—	$49 – $59
14	Clover fee schedule · outpatient · +2 other terms	15	$56	$56	$1	1%	—	$56 – $59
15	Kaiser fee schedule · outpatient · +2 other terms	15	$55	$54	$1	3%	—	$50 – $55
16	Ambetter case rate · outpatient · +2 other terms	12	$94	$101	$8	8%	—	$94 – $111
17	Medicare case rate · outpatient · +2 other terms	8	$52	$52	—	—	—	$52 – $52
18	Optum fee schedule · outpatient · +1 other terms	8	$55	$81	$39	48%	—	$52 – $141
19	Highmark case rate · outpatient · +2 other terms	5	$52	$71	$25	35%	—	$52 – $115
20	Tricare facility · fee schedule · outpatient	5	$52	$52	—	—	—	$52 – $52
21	Excellus case rate · outpatient	4	$72	$73	$27	37%	—	$52 – $118
22	Bcbs Nj facility · other · outpatient	3	$54	$54	—	—	—	$54 – $54
23	Sanford Health Plan case rate · outpatient	3	$73	$74	$7	10%	—	$61 – $84
24	Aetna Better Health facility · case rate · outpatient	1	$41	$41	$13	32%	—	$27 – $54
25	Magellan fee schedule · outpatient	1	$54	$54	—	—	—	$54 – $54

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