APC 9453

Nivolumab 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

Injection, nivolumab

Payers reporting APC 9453

Payer pricing summary

Low

$17

Average

$421

Median

$40

High

$3.5k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$45	$46	$17	37%	560	$33 – $74
2	Highmark case rate · outpatient · +2 other terms	5	$33	$45	$16	35%	1–10	$33 – $72
3	UnitedHealthcare fee schedule · outpatient · +6 other terms	174	$34	$34	$1	2%	—	$31 – $35
4	Humana fee schedule · outpatient · +6 other terms	161	$34	$35	$10	27%	—	$31 – $134
5	Aetna fee schedule · outpatient · +5 other terms	155	$34	$35	$4	11%	—	$31 – $57
6	WellCare fee schedule · outpatient · +2 other terms	131	$35	$35	$1	4%	—	$32 – $44
7	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$34	$34	$1	4%	—	$32 – $47
8	Devoted fee schedule · outpatient · +2 other terms	122	$34	$34	$0	1%	—	$34 – $35
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$35	$34	$1	3%	—	$34 – $37
10	Molina fee schedule · outpatient · +3 other terms	69	$49	$48	$18	38%	—	$32 – $88
11	Superior Healthplan fee schedule · outpatient	40	$35	$35	$0	0%	—	$35 – $36
12	Anthem fee schedule · outpatient · +2 other terms	31	$34	$34	$1	2%	—	$32 – $35
13	Oscar fee schedule · outpatient · +3 other terms	27	$33	$36	$7	20%	—	$33 – $57
14	Medicare facility · fee schedule · outpatient · +2 other terms	22	$34	$220	$1.0k	460%	—	$34 – $8.2k
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$40	$40	$0	1%	—	$39 – $40
16	Cigna fee schedule · outpatient · +4 other terms	16	$34	$34	$2	6%	—	$32 – $40
17	Clover fee schedule · outpatient · +3 other terms	15	$35	$35	$0	0%	—	$35 – $36
18	Kaiser fee schedule · outpatient · +2 other terms	15	$34	$34	$0	1%	—	$33 – $34
19	Ambetter case rate · outpatient · +4 other terms	12	$59	$65	$7	10%	—	$59 – $73
20	Optum fee schedule · outpatient · +2 other terms	8	$34	$51	$24	48%	—	$33 – $86
21	Medica facility · fee schedule · outpatient	5	$35	$35	$0	0%	—	$35 – $35
22	Tricare facility · fee schedule · outpatient	5	$33	$33	—	—	—	$33 – $33
23	Bcbs Nj facility · other · outpatient	3	$34	$34	—	—	—	$34 – $34
24	Sanford Health Plan case rate · outpatient	3	$48	$48	$5	10%	—	$40 – $55
25	Magellan facility · fee schedule · outpatient · +1 other terms	2	$35	$35	—	—	—	$35 – $35

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