APC 9455
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.
Original text from hospital filings
Injection, siltuximab
Low
$87
Average
$353
Median
$178
High
$3.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 174 | $170 | $170 | $5 | 3% | — | $149 – $178 |
| 2 | Humana fee schedule · outpatient · +5 other terms | 161 | $169 | $176 | $48 | 27% | — | $149 – $675 |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $170 | $174 | $18 | 10% | — | $149 – $273 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $174 | $178 | $7 | 4% | — | $156 – $223 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 126 | $172 | $171 | $6 | 3% | — | $153 – $230 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $169 | $170 | $2 | 1% | — | $169 – $177 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $175 | $174 | $4 | 3% | — | $169 – $188 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 69 | $248 | $242 | $94 | 39% | — | $156 – $442 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $177 | $178 | $2 | 1% | — | $177 – $183 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $169 | $168 | $6 | 4% | — | $156 – $174 |
| 11 | Oscar fee schedule · outpatient · +2 other terms | 27 | $171 | $183 | $32 | 18% | — | $165 – $273 |
| 12 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $202 | $202 | $2 | 1% | — | $198 – $202 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 16 | $172 | $169 | $9 | 6% | — | $156 – $182 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $183 | $181 | $3 | 2% | — | $177 – $183 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $172 | $170 | $4 | 3% | — | $159 – $172 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $299 | $324 | $31 | 9% | — | $299 – $360 |
| 17 | Medicare facility · fee schedule · outpatient · +2 other terms | 9 | $169 | $170 | $2 | 1% | — | $169 – $174 |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $171 | $258 | $125 | 49% | — | $166 – $435 |
| 19 | Highmark case rate · outpatient · +2 other terms | 5 | $166 | $224 | $79 | 35% | — | $166 – $364 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $166 | $166 | — | — | — | $166 – $166 |
| 21 | Excellus case rate · outpatient | 4 | $226 | $231 | $85 | 37% | — | $166 – $372 |
| 22 | Bcbs Nj facility · other · outpatient | 3 | $169 | $169 | — | — | — | $169 – $169 |
| 23 | Sanford Health Plan case rate · outpatient | 3 | $235 | $236 | $24 | 10% | — | $196 – $270 |
| 24 | Medica facility · fee schedule · outpatient | 2 | $177 | $177 | — | — | — | $177 – $177 |
| 25 | Aetna Better Health facility · case rate · outpatient | 1 | $128 | $128 | $41 | 32% | — | $87 – $169 |
← Hospitals reporting APC 9455 · Snapshot 20261111T120946Z-9134e7f7