APC 9474

Irinotecan liposome 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 irinotecan liposome 1 mg

Payers reporting APC 9474

Payer pricing summary

Low

$35

Average

$152

Median

$69

High

$1.8k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$90	$92	$34	37%	36	$66 – $148
2	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$67	$67	$1	1%	—	$62 – $69
3	Humana fee schedule · outpatient · +4 other terms	161	$66	$69	$19	27%	—	$62 – $264
4	Aetna fee schedule · outpatient · +4 other terms	155	$67	$68	$8	12%	—	$62 – $112
5	WellCare fee schedule · outpatient · +2 other terms	131	$68	$69	$2	3%	—	$64 – $87
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$66	$67	$2	4%	—	$63 – $95
7	Devoted fee schedule · outpatient · +1 other terms	122	$66	$66	$0	0%	—	$66 – $69
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$69	$67	$2	3%	—	$66 – $71
9	Molina fee schedule · outpatient · +3 other terms	69	$97	$94	$36	39%	—	$64 – $173
10	Superior Healthplan fee schedule · outpatient	40	$69	$69	$0	0%	—	$69 – $70
11	Anthem fee schedule · outpatient · +1 other terms	31	$66	$66	$1	2%	—	$64 – $68
12	Oscar fee schedule · outpatient · +2 other terms	27	$65	$72	$14	20%	—	$65 – $112
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$79	$78	$2	2%	—	$75 – $79
14	Cigna fee schedule · outpatient · +2 other terms	16	$67	$68	$4	6%	—	$64 – $81
15	Clover fee schedule · outpatient · +2 other terms	15	$70	$69	$0	0%	—	$69 – $70
16	Kaiser fee schedule · outpatient · +2 other terms	15	$67	$67	$1	1%	—	$66 – $67
17	Medicare facility · fee schedule · outpatient · +2 other terms	15	$66	$66	$0	0%	—	$66 – $67
18	Ambetter case rate · outpatient · +3 other terms	12	$119	$131	$15	11%	—	$119 – $149
19	Optum fee schedule · outpatient · +1 other terms	8	$66	$99	$47	47%	—	$66 – $166
20	Highmark case rate · outpatient · +2 other terms	5	$66	$89	$32	35%	—	$66 – $145
21	Medica facility · fee schedule · outpatient	5	$69	$69	$0	0%	—	$69 – $69
22	Tricare facility · fee schedule · outpatient	5	$66	$66	—	—	—	$66 – $66
23	Bcbs Nj facility · other · outpatient	3	$66	$66	—	—	—	$66 – $66
24	Sanford Health Plan case rate · outpatient	3	$95	$95	$10	10%	—	$79 – $109
25	Aetna Better Health facility · case rate · outpatient	1	$51	$51	$16	32%	—	$35 – $67

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