APC 9490

Bezlotoxumab injection, 10 mg

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, bezlotoxumab, 10 mg

Payers reporting APC 9490

Payer pricing summary

Low

$21

Average

$108

Median

$42

High

$1.0k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$40	$40	$0	1%	—	$40 – $42
2	Humana fee schedule · outpatient · +5 other terms	161	$40	$41	$11	27%	—	$38 – $159
3	Aetna fee schedule · outpatient · +4 other terms	155	$40	$41	$5	12%	—	$39 – $70
4	WellCare fee schedule · outpatient · +2 other terms	131	$41	$41	$1	3%	—	$40 – $53
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$41	$40	$2	4%	—	$39 – $60
6	Devoted fee schedule · outpatient · +1 other terms	122	$40	$40	$0	0%	—	$40 – $42
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$41	$41	$1	3%	—	$40 – $43
8	Molina fee schedule · outpatient · +3 other terms	69	$59	$57	$22	38%	—	$40 – $104
9	Superior Healthplan fee schedule · outpatient	40	$42	$42	—	—	—	$42 – $42
10	Anthem fee schedule · outpatient · +3 other terms	31	$40	$40	$1	1%	—	$40 – $41
11	Oscar fee schedule · outpatient · +2 other terms	27	$39	$44	$9	22%	—	$39 – $70
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$48	$47	$1	2%	—	$45 – $48
13	Cigna fee schedule · outpatient · +2 other terms	17	$41	$45	$14	31%	—	$40 – $101
14	Clover fee schedule · outpatient · +3 other terms	15	$42	$42	—	—	—	$42 – $42
15	Kaiser fee schedule · outpatient · +2 other terms	15	$41	$41	$0	0%	—	$40 – $41
16	Ambetter case rate · outpatient · +3 other terms	12	$72	$80	$10	12%	—	$72 – $91
17	Medicare facility · fee schedule · outpatient · +2 other terms	10	$40	$40	—	—	—	$40 – $40
18	Optum fee schedule · outpatient · +2 other terms	8	$40	$60	$28	47%	—	$40 – $100
19	Highmark case rate · outpatient · +2 other terms	5	$40	$54	$19	35%	—	$40 – $87
20	Tricare facility · fee schedule · outpatient	5	$40	$40	—	—	—	$40 – $40
21	Excellus case rate · outpatient	4	$54	$56	$20	37%	—	$40 – $89
22	Bcbs Nj facility · other · outpatient	3	$40	$40	—	—	—	$40 – $40
23	Sanford Health Plan case rate · outpatient	3	$58	$58	$6	10%	—	$48 – $66
24	Magellan facility · fee schedule · outpatient · +1 other terms	2	$42	$42	—	—	—	$42 – $42
25	Aetna Better Health facility · case rate · outpatient	1	$31	$31	$10	32%	—	$21 – $41

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