APC 00734

Levothyroxine 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

LEVOTHYROXINE INJ 100 MCG5ML

Payers reporting APC 00734

Payer pricing summary

Low

Average

Median

High

$11

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	81	$7	$7	$0	4%	—	$5 – $7
2	Caresource fee schedule · outpatient	15	$7	$7	—	—	—	$7 – $7
3	Aetna facility · fee schedule · outpatient	6	$7	$7	$0	4%	—	$7 – $7
4	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	6	$7	$7	—	—	—	$7 – $7
5	UnitedHealthcare facility · fee schedule · outpatient	5	$7	$10	$7	68%	—	$7 – $25
6	Medicare facility · fee schedule · outpatient	4	$7	$7	—	—	—	$7 – $7
7	Carefirst facility · fee schedule · outpatient	3	$7	$7	—	—	—	$7 – $7
8	Medica facility · fee schedule · outpatient	3	$7	$7	—	—	—	$7 – $7
9	Tricare facility · fee schedule · outpatient	3	$7	$7	—	—	—	$7 – $7
10	Aetna Better Health facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
11	Amerihealth Caritas facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
12	Highmark facility · fee schedule · outpatient · +1 other terms	1	$7	$7	$0	7%	—	$6 – $7
13	Kaiser facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7