APC 9472

Talimogene laherparepvec 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 talimogene laherparepvec

Payers reporting APC 9472

Payer pricing summary

Low

$39

Average

$220

Median

$78

High

$2.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$75	$75	$2	2%	—	$67 – $79
2	Humana fee schedule · outpatient · +4 other terms	161	$74	$77	$21	27%	—	$67 – $296
3	Aetna fee schedule · outpatient · +5 other terms	155	$75	$76	$8	11%	—	$67 – $123
4	WellCare fee schedule · outpatient · +2 other terms	131	$76	$77	$3	4%	—	$70 – $98
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$75	$75	$3	4%	—	$70 – $105
6	Devoted fee schedule · outpatient · +1 other terms	122	$74	$74	$1	1%	—	$74 – $78
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$77	$76	$2	3%	—	$74 – $84
8	Molina fee schedule · outpatient · +3 other terms	69	$109	$106	$41	38%	—	$70 – $194
9	Superior Healthplan fee schedule · outpatient	40	$78	$78	$1	1%	—	$78 – $81
10	Anthem fee schedule · outpatient · +1 other terms	31	$74	$74	$2	3%	—	$70 – $77
11	Oscar fee schedule · outpatient · +2 other terms	27	$72	$80	$15	19%	—	$72 – $123
12	Amerihealth Caritas fee schedule · outpatient	17	$89	$89	$0	0%	—	$88 – $89
13	Cigna fee schedule · outpatient · +2 other terms	16	$75	$75	$4	5%	—	$70 – $81
14	Clover fee schedule · outpatient · +2 other terms	15	$78	$78	$1	1%	—	$78 – $81
15	Kaiser fee schedule · outpatient · +2 other terms	15	$75	$75	$1	2%	—	$72 – $75
16	Ambetter case rate · outpatient · +2 other terms	12	$133	$145	$14	10%	—	$133 – $161
17	Medicare case rate · outpatient · +2 other terms	8	$74	$74	—	—	—	$74 – $74
18	Optum fee schedule · outpatient · +1 other terms	8	$76	$112	$53	48%	—	$74 – $193
19	Highmark case rate · outpatient · +1 other terms	5	$74	$100	$35	35%	—	$74 – $162
20	Tricare facility · fee schedule · outpatient	5	$74	$74	—	—	—	$74 – $74
21	Excellus case rate · outpatient	4	$101	$103	$38	37%	—	$74 – $166
22	Bcbs Nj facility · other · outpatient	3	$74	$74	—	—	—	$74 – $74
23	Sanford Health Plan case rate · outpatient	3	$107	$107	$11	10%	—	$89 – $123
24	Medica facility · fee schedule · outpatient	2	$78	$78	—	—	—	$78 – $78
25	Aetna Better Health facility · case rate · outpatient	1	$57	$57	$18	32%	—	$39 – $75

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