APC 9434

Anifrolumab injection, 1 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-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 anifrolumab-fnia 1mg

Payers reporting APC 9434

Payer pricing summary

Low

Average

$183

Median

$22

High

$2.4k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$25	$25	$9	37%	157–166	$18 – $41
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$19	$19	$0	1%	—	$17 – $19
3	Humana fee schedule · outpatient · +5 other terms	161	$18	$19	$5	27%	—	$17 – $73
4	Aetna fee schedule · outpatient · +4 other terms	155	$19	$19	$2	11%	—	$17 – $31
5	WellCare fee schedule · outpatient · +2 other terms	131	$19	$19	$1	4%	—	$18 – $24
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$19	$19	$1	4%	—	$17 – $26
7	Devoted fee schedule · outpatient · +1 other terms	122	$18	$18	$0	0%	—	$18 – $19
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$19	$19	$1	3%	—	$18 – $20
9	Molina fee schedule · outpatient · +4 other terms	69	$27	$26	$10	39%	—	$18 – $48
10	Superior Healthplan fee schedule · outpatient	40	$19	$19	$0	0%	—	$19 – $19
11	Anthem fee schedule · outpatient · +1 other terms	31	$18	$18	$0	2%	—	$18 – $19
12	Oscar fee schedule · outpatient · +2 other terms	27	$18	$20	$4	20%	—	$18 – $31
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$22	$22	$0	2%	—	$21 – $22
14	Cigna fee schedule · outpatient · +2 other terms	15	$19	$19	$1	4%	—	$18 – $20
15	Clover fee schedule · outpatient · +2 other terms	15	$19	$19	$0	0%	—	$19 – $19
16	Kaiser fee schedule · outpatient · +2 other terms	15	$19	$19	$0	1%	—	$18 – $19
17	Ambetter case rate · outpatient · +3 other terms	12	$33	$36	$4	10%	—	$33 – $40
18	Medicare facility · fee schedule · outpatient · +1 other terms	12	$18	$444	$1.5k	332%	—	$18 – $5.6k
19	Optum fee schedule · outpatient · +1 other terms	8	$18	$28	$13	47%	—	$18 – $46
20	Highmark case rate · outpatient · +2 other terms	5	$18	$24	$9	35%	—	$18 – $40
21	Tricare facility · fee schedule · outpatient	5	$18	$18	—	—	—	$18 – $18
22	Bcbs Nj facility · other · outpatient	3	$18	$18	—	—	—	$18 – $18
23	Sanford Health Plan case rate · outpatient	3	$26	$26	$3	10%	—	$22 – $30
24	Medica facility · fee schedule · outpatient	2	$19	$19	—	—	—	$19 – $19
25	Aetna Better Health facility · case rate · outpatient	1	$14	$14	$4	32%	—	$9 – $18

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