APC 9495

Gemtuzumab ozogamicin 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

Gemtuzumab ozogamicin inj

Payers reporting APC 9495

Payer pricing summary

Low

$124

Average

$491

Median

$253

High

$4.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$243	$243	$4	2%	—	$226 – $252
2	Humana fee schedule · outpatient · +4 other terms	161	$240	$251	$68	27%	—	$226 – $961
3	Aetna fee schedule · outpatient · +4 other terms	155	$243	$248	$28	11%	—	$226 – $408
4	WellCare fee schedule · outpatient · +2 other terms	131	$247	$251	$10	4%	—	$233 – $317
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$245	$243	$9	4%	—	$230 – $345
6	Devoted fee schedule · outpatient · +2 other terms	122	$240	$241	$2	1%	—	$240 – $252
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$250	$246	$7	3%	—	$240 – $267
8	Molina fee schedule · outpatient · +3 other terms	69	$354	$344	$132	38%	—	$233 – $629
9	Superior Healthplan fee schedule · outpatient	40	$252	$253	$2	1%	—	$252 – $260
10	Anthem fee schedule · outpatient · +2 other terms	31	$240	$241	$5	2%	—	$233 – $247
11	Oscar fee schedule · outpatient · +2 other terms	27	$235	$261	$53	20%	—	$235 – $408
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$288	$287	$2	1%	—	$282 – $288
13	Cigna fee schedule · outpatient · +2 other terms	16	$245	$247	$14	6%	—	$233 – $288
14	Clover fee schedule · outpatient · +2 other terms	15	$252	$253	$2	1%	—	$252 – $260
15	Kaiser fee schedule · outpatient · +2 other terms	15	$245	$244	$3	1%	—	$238 – $245
16	Medicare facility · fee schedule · outpatient · +2 other terms	14	$240	$243	$3	1%	—	$240 – $247
17	Ambetter case rate · outpatient · +2 other terms	12	$426	$468	$50	11%	—	$426 – $527
18	Optum fee schedule · outpatient · +1 other terms	8	$244	$363	$172	48%	—	$237 – $618
19	Highmark case rate · outpatient · +2 other terms	5	$237	$320	$113	35%	—	$237 – $519
20	Medica facility · fee schedule · outpatient	5	$250	$251	$1	0%	—	$250 – $252
21	Tricare facility · fee schedule · outpatient	5	$237	$237	—	—	—	$237 – $237
22	Excellus case rate · outpatient	4	$323	$330	$121	37%	—	$237 – $531
23	Bcbs Nj facility · other · outpatient	3	$240	$240	—	—	—	$240 – $240
24	Sanford Health Plan case rate · outpatient	3	$343	$345	$35	10%	—	$287 – $395
25	Aetna Better Health facility · case rate · outpatient	1	$183	$183	$59	32%	—	$124 – $241

Page 1 of 2 · 27 payers