APC 9491

Avelumab cancer immunotherapy 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Injection, avelumab, 10 mg

Payers reporting APC 9491

Payer pricing summary

Low

$52

Average

$149

Median

$110

High

$712

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$137	$140	$51	37%	58	$100 – $225
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$106	$106	$3	3%	—	$92 – $111
3	Humana fee schedule · outpatient · +4 other terms	161	$105	$110	$30	27%	—	$92 – $420
4	Aetna fee schedule · outpatient · +4 other terms	155	$106	$108	$11	10%	—	$92 – $170
5	WellCare fee schedule · outpatient · +2 other terms	131	$108	$110	$4	4%	—	$97 – $139
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$107	$106	$4	4%	—	$95 – $142
7	Devoted fee schedule · outpatient · +1 other terms	122	$105	$105	$1	1%	—	$105 – $110
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$109	$108	$3	3%	—	$105 – $117
9	Molina fee schedule · outpatient · +3 other terms	69	$155	$150	$58	39%	—	$97 – $275
10	Superior Healthplan fee schedule · outpatient	40	$110	$111	$1	1%	—	$110 – $114
11	Anthem fee schedule · outpatient · +3 other terms	31	$105	$104	$4	4%	—	$97 – $109
12	Oscar fee schedule · outpatient · +2 other terms	27	$103	$113	$20	18%	—	$103 – $170
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$126	$126	$1	1%	—	$124 – $126
14	Cigna fee schedule · outpatient · +2 other terms	16	$107	$106	$7	6%	—	$97 – $118
15	Clover fee schedule · outpatient · +2 other terms	15	$111	$111	$1	1%	—	$110 – $114
16	Kaiser fee schedule · outpatient · +2 other terms	15	$107	$106	$3	3%	—	$99 – $107
17	Medicare facility · fee schedule · outpatient · +2 other terms	13	$105	$107	$2	2%	—	$105 – $109
18	Ambetter case rate · outpatient · +3 other terms	12	$180	$196	$19	10%	—	$180 – $218
19	Optum fee schedule · outpatient · +2 other terms	8	$107	$159	$76	48%	—	$100 – $272
20	Highmark case rate · outpatient · +2 other terms	5	$100	$135	$48	35%	—	$100 – $220
21	Tricare facility · fee schedule · outpatient	5	$100	$100	—	—	—	$100 – $100
22	Bcbs Nj facility · other · outpatient	3	$105	$105	—	—	—	$105 – $105
23	Sanford Health Plan case rate · outpatient	3	$145	$146	$15	10%	—	$121 – $167
24	Medica facility · fee schedule · outpatient	2	$110	$110	—	—	—	$110 – $110
25	Aetna Better Health facility · case rate · outpatient	1	$77	$77	$25	32%	—	$52 – $102

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