APC 9487

Ustekinumab intravenous 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

Ustekinumab, iv inject,1 mg

Payers reporting APC 9487

Payer pricing summary

Low

Average

$51

Median

$14

High

$436

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$18	$18	$7	37%	54	$13 – $29
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$13	$13	$0	3%	—	$11 – $13
3	Humana fee schedule · outpatient · +5 other terms	161	$12	$13	$4	28%	—	$11 – $50
4	Aetna fee schedule · outpatient · +4 other terms	155	$13	$13	$2	14%	—	$11 – $22
5	WellCare fee schedule · outpatient · +2 other terms	131	$13	$12	$1	5%	—	$12 – $16
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$13	$12	$1	6%	—	$11 – $19
7	Devoted fee schedule · outpatient · +1 other terms	122	$12	$12	$0	4%	—	$11 – $13
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$13	$12	$1	6%	—	$11 – $13
9	Molina fee schedule · outpatient · +3 other terms	69	$18	$18	$7	39%	—	$12 – $33
10	Superior Healthplan fee schedule · outpatient	40	$13	$13	$0	3%	—	$12 – $13
11	Anthem fee schedule · outpatient · +3 other terms	31	$13	$13	$0	2%	—	$11 – $13
12	Oscar fee schedule · outpatient · +2 other terms	27	$12	$13	$3	23%	—	$11 – $22
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$15	$15	$1	5%	—	$13 – $15
14	Medicare facility · fee schedule · outpatient · +2 other terms	17	$12	$85	$319	375%	—	$10 – $1.5k
15	Cigna fee schedule · outpatient · +2 other terms	16	$13	$13	$1	8%	—	$13 – $17
16	Clover fee schedule · outpatient · +2 other terms	15	$12	$13	$0	4%	—	$12 – $13
17	Kaiser fee schedule · outpatient · +2 other terms	15	$13	$13	$0	1%	—	$12 – $13
18	Ambetter case rate · outpatient · +3 other terms	12	$23	$26	$3	12%	—	$23 – $30
19	Optum fee schedule · outpatient · +3 other terms	8	$13	$18	$8	43%	—	$11 – $29
20	Highmark case rate · outpatient · +2 other terms	5	$13	$18	$6	35%	—	$13 – $28
21	Medica facility · fee schedule · outpatient	5	$13	$13	$0	0%	—	$13 – $13
22	Tricare facility · fee schedule · outpatient	5	$13	$13	—	—	—	$13 – $13
23	Bcbs Nj facility · other · outpatient	3	$12	$12	—	—	—	$12 – $12
24	Sanford Health Plan case rate · outpatient	3	$19	$19	$2	10%	—	$16 – $22
25	Aetna Better Health facility · case rate · outpatient	1	$10	$10	$3	32%	—	$7 – $13

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