APC 9494

Ocrelizumab 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

Injection, ocrelizumab

Payers reporting APC 9494

Payer pricing summary

Low

$31

Average

$783

Median

$67

High

$5.6k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$81	$83	$30	37%	965–974	$59 – $133
2	Highmark case rate · outpatient · +2 other terms	5	$59	$80	$28	35%	4–40	$59 – $130
3	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$60	$60	$1	1%	—	$59 – $62
4	Humana fee schedule · outpatient · +5 other terms	161	$59	$62	$17	27%	—	$59 – $237
5	Aetna fee schedule · outpatient · +5 other terms	155	$60	$61	$7	12%	—	$59 – $103
6	WellCare fee schedule · outpatient · +2 other terms	131	$61	$62	$2	4%	—	$59 – $78
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$61	$60	$3	4%	—	$58 – $90
8	Devoted fee schedule · outpatient · +2 other terms	122	$59	$60	$0	1%	—	$59 – $62
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$62	$61	$2	3%	—	$59 – $66
10	Molina fee schedule · outpatient · +3 other terms	69	$87	$85	$33	38%	—	$59 – $155
11	Superior Healthplan fee schedule · outpatient	40	$62	$62	$0	1%	—	$62 – $64
12	Anthem fee schedule · outpatient · +3 other terms	31	$59	$60	$1	1%	—	$59 – $61
13	Oscar fee schedule · outpatient · +2 other terms	27	$58	$65	$14	21%	—	$58 – $103
14	Medicare facility · fee schedule · outpatient · +2 other terms	18	$59	$853	$3.7k	436%	—	$59 – $18.3k
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$71	$71	$1	1%	—	$70 – $71
16	Cigna fee schedule · outpatient · +3 other terms	16	$61	$62	$5	8%	—	$59 – $81
17	Clover fee schedule · outpatient · +3 other terms	15	$63	$63	$0	1%	—	$62 – $64
18	Kaiser fee schedule · outpatient · +2 other terms	15	$61	$60	$0	1%	—	$59 – $61
19	Ambetter case rate · outpatient · +4 other terms	12	$107	$120	$15	12%	—	$107 – $137
20	Optum fee schedule · outpatient · +3 other terms	8	$60	$90	$43	48%	—	$59 – $152
21	Medica facility · fee schedule · outpatient	5	$62	$62	$0	0%	—	$62 – $62
22	Tricare facility · fee schedule · outpatient	5	$59	$59	—	—	—	$59 – $59
23	Bcbs Nj facility · other · outpatient	3	$59	$59	—	—	—	$59 – $59
24	Sanford Health Plan case rate · outpatient	3	$87	$87	$9	10%	—	$72 – $100
25	Aetna Better Health facility · case rate · outpatient	1	$46	$46	$15	32%	—	$31 – $61

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