On-body injector application for timed subcutaneous 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

HCHG ON-PRO NEULASTA

Payers reporting CPT 96377

Payer pricing summary

Low

$25

Average

$517

Median

$121

High

$18.8k

Payer rate distribution

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#
1	Florida Blue facility · percent of total billed charges · outpatientfrom % of charges	1	$18.8k	$18.8k	$2.8k	15%	443	$16.0k – $21.6k
2	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	339	$83	$123	$287	232%	117–135	$1 – $4.1k
3	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$106	$106	—	—	29	$106 – $106
4	Humana fee schedule · outpatient · +31 other terms	340	$50	$134	$518	386%	4–40	$1 – $4.3k
5	Aetna fee schedule · outpatient · +36 other terms	463	$54	$761	$1.9k	254%	1–10	$1 – $21.3k
6	Molina fee schedule · outpatient · +28 other terms	139	$48	$57	$31	54%	1–10	$1 – $264
7	Medicaid facility · fee schedule · outpatient · +13 other terms	22	$16	$336	$1.3k	391%	1–10	$5 – $6.7k
8	UnitedHealthcare fee schedule · outpatient · +37 other terms	378	$53	$158	$638	404%	—	$1 – $12.5k
9	Cigna fee schedule · outpatient · +29 other terms	172	$52	$369	$794	215%	—	$12 – $3.8k
10	WellCare fee schedule · outpatient · +21 other terms	160	$51	$136	$561	412%	—	$16 – $4.2k
11	Anthem fee schedule · outpatient · +27 other terms	112	$50	$59	$72	122%	—	$2 – $435
12	Kaiser fee schedule · outpatient · +22 other terms	79	$75	$214	$695	325%	—	$16 – $4.2k
13	Ambetter facility · fee schedule · outpatient · +18 other terms	75	$82	$168	$784	466%	—	$21 – $7.0k
14	Devoted facility · fee schedule · outpatient · +16 other terms	65	$47	$114	$559	490%	—	$42 – $4.9k
15	MultiPlan fee schedule · outpatient · +19 other terms	59	$112	$125	$81	65%	—	$43 – $437
16	Highmark facility · fee schedule · outpatient · +18 other terms	57	$61	$61	$47	77%	—	$13 – $209
17	Caresource fee schedule · outpatient · +17 other terms	52	$71	$164	$515	315%	—	$1 – $4.2k
18	Oscar facility · fee schedule · outpatient · +18 other terms	49	$71	$69	$15	22%	—	$22 – $88
19	Optum fee schedule · outpatient · +20 other terms	48	$43	$70	$55	79%	—	$16 – $238
20	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	40	$23	$33	$19	56%	—	$18 – $112
21	Tricare facility · fee schedule · outpatient · +18 other terms	38	$48	$170	$822	484%	—	$16 – $5.7k
22	Clover fee schedule · outpatient · +9 other terms	34	$52	$521	$1.3k	247%	—	$42 – $4.3k
23	First Health fee schedule · outpatient · +15 other terms	34	$103	$1.2k	$2.5k	208%	—	$43 – $7.2k
24	Medicare facility · fee schedule · outpatient · +19 other terms	33	$48	$175	$764	437%	—	$19 – $4.8k
25	Aetna Better Health facility · fee schedule · outpatient · +16 other terms	32	$26	$41	$92	225%	—	$13 – $486

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