APC 9496

Faricimab injection, 0.1 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, faricimab-svoa, 0.1mg

Payers reporting APC 9496

Payer pricing summary

Low

$18

Average

$39

Median

$35

High

$68

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$46	$47	$17	37%	132	$34 – $76
2	Highmark case rate · outpatient · +1 other terms	5	$34	$46	$16	35%	1–10	$34 – $74
3	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$33	$33	$1	3%	—	$32 – $37
4	Humana fee schedule · outpatient · +4 other terms	161	$33	$34	$9	27%	—	$31 – $132
5	Aetna fee schedule · outpatient · +3 other terms	155	$33	$34	$5	14%	—	$32 – $62
6	WellCare fee schedule · outpatient · +2 other terms	131	$34	$34	$1	3%	—	$33 – $43
7	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$34	$33	$2	5%	—	$32 – $52
8	Devoted fee schedule · outpatient · +1 other terms	122	$33	$33	$0	1%	—	$32 – $35
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$34	$33	$1	3%	—	$32 – $35
10	Molina fee schedule · outpatient · +4 other terms	69	$48	$47	$18	38%	—	$34 – $86
11	Superior Healthplan fee schedule · outpatient	40	$35	$35	$0	0%	—	$34 – $35
12	Anthem fee schedule · outpatient · +1 other terms	31	$34	$34	$1	3%	—	$32 – $36
13	Oscar fee schedule · outpatient · +2 other terms	27	$32	$36	$9	25%	—	$32 – $62
14	Amerihealth Caritas fee schedule · outpatient	17	$39	$39	$1	3%	—	$37 – $39
15	Cigna fee schedule · outpatient · +1 other terms	15	$35	$35	$1	3%	—	$34 – $37
16	Clover fee schedule · outpatient · +2 other terms	15	$35	$34	$0	0%	—	$34 – $35
17	Kaiser fee schedule · outpatient · +2 other terms	15	$34	$34	$1	2%	—	$33 – $36
18	Ambetter case rate · outpatient · +2 other terms	12	$61	$68	$9	13%	—	$61 – $79
19	Medicare case rate · outpatient · +1 other terms	8	$34	$34	—	—	—	$34 – $34
20	Optum fee schedule · outpatient · +1 other terms	8	$33	$49	$23	47%	—	$32 – $82
21	Tricare facility · fee schedule · outpatient	5	$34	$34	—	—	—	$34 – $34
22	Sanford Health Plan case rate · outpatient	3	$50	$50	$5	10%	—	$42 – $58
23	Bcbs Nj facility · other · outpatient	2	$33	$33	—	—	—	$33 – $33
24	Aetna Better Health facility · case rate · outpatient	1	$26	$26	$8	32%	—	$18 – $35
25	Magellan fee schedule · outpatient	1	$33	$33	—	—	—	$33 – $33

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