Adalimumab-ryvk biosimilar 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

Inj adalimumab-ryvk, 1 mg

Payers reporting HCPCS Q5142

Payer pricing summary

Low

Average

$92

Median

$21

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	463	$22	$28	$22	78%	—	$5 – $163
2	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	196	$23	$32	$20	61%	—	$3 – $84
3	Cigna fee schedule · outpatient · +9 other terms	175	$20	$40	$31	79%	—	$7 – $113
4	Aetna fee schedule · outpatient · +10 other terms	143	$12	$21	$26	122%	—	$10 – $163
5	Humana fee schedule · outpatient · +7 other terms	110	$11	$15	$27	174%	—	$10 – $171
6	Anthem fee schedule · outpatient · +6 other terms	64	$14	$21	$23	107%	—	$10 – $163
7	WellCare fee schedule · outpatient · +4 other terms	63	$11	$13	$5	39%	—	$10 – $25
8	Kaiser fee schedule · both · +4 other terms	41	$16	$16	$4	26%	—	$13 – $22
9	Molina fee schedule · outpatient · +6 other terms	40	$11	$31	$84	272%	—	$10 – $527
10	Bcbs Tx fee schedule · outpatient	31	$49	$46	$21	46%	—	$10 – $89
11	Devoted fee schedule · outpatient · +1 other terms	31	$11	$11	$0	4%	—	$10 – $12
12	Ambetter facility · fee schedule · outpatient · +3 other terms	21	$25	$23	$4	19%	—	$10 – $27
13	Clover fee schedule · outpatient · +2 other terms	19	$12	$12	$0	4%	—	$11 – $12
14	Optum facility · fee schedule · outpatient · +2 other terms	19	$13	$13	$1	11%	—	$8 – $13
15	Caresource facility · case rate · outpatient · +4 other terms	17	$181	$168	$81	48%	—	$10 – $314
16	Wellmark fee schedule · both · +3 other terms	13	$13	$13	—	—	—	$13 – $13
17	Bcbs Nj fee schedule · outpatient	12	$13	$16	$10	64%	—	$12 – $51
18	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$11	$11	—	—	—	$11 – $11
19	Highmark fee schedule · outpatient · +3 other terms	12	$15	$18	$34	189%	—	$6 – $527
20	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$11	$11	$0	2%	—	$10 – $11
21	Medica facility · fee schedule · outpatient · +4 other terms	11	$10	$10	$2	23%	—	$5 – $13
22	Sanford Health Plan fee schedule · outpatient · +3 other terms	11	$10	$12	$1	12%	—	$10 – $13
23	Bcbs Mn fee schedule · outpatient · +4 other terms	9	$11	$12	$1	11%	—	$11 – $13
24	Medical Mutual fee schedule · outpatient · +1 other terms	9	$22	$22	—	—	—	$22 – $22
25	Premera fee schedule · outpatient · +1 other terms	9	$34	$32	$4	12%	—	$25 – $37

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